Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Screening Test Visual Acuity Quantitative Bilat
Low
$0
Average
$10.8k
Median
$20
High
$5012.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
468 hospitals; the 90th percentile is 23.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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662 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 2 | $11 | $11 | — | — | 3,326–3,335 | $11 – $11 |
| 2 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 8 | $33 | $31 | $4 | 14% | 174 | $19 – $35 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | $2 | 3% | 55–64 | $56 – $60 |
| 4 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 53 | $73 – $73 |
| 5 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $16 | $16 | $3 | 20% | 47 | $13 – $19 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 47 | $59 – $59 |
| 7 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $7 | $7 | $1 | 22% | 45 | $5 – $8 |
| 8 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 29 | $25 – $25 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $29 | $29 | $1 | 2% | 24 | $29 – $30 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $65 | $4 | 6% | 24–51 | $58 – $67 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 4 | $40 | $41 | $8 | 20% | 4–40 | $33 – $51 |
| 12 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 13 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $16 | $16 | $3 | 20% | 2–20 | $13 – $19 |
| 14 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $13 | $4 | 31% | 2–20 | $9 – $19 |
| 16 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $10 | $12 | $4 | 31% | 2–20 | $9 – $17 |
| 17 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $6 | $6 | $0 | 8% | 2–20 | $5 – $6 |
| 18 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 19 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $37 | $2 | 4% | 1–10 | $35 – $38 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 21 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 22 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 23 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 24 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 25 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
← Payers reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7