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
$3
Average
$24
Median
$25
High
$52
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 7.6× 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.
Filter by billing methodology
Filter by billing class
64 hospital rates
iThe hospitals that file a Healthpartners 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 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $14 | $30 | $23 | 77% | 14 | $14 – $63 |
| 2 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $52 | $52 | $1 | 1% | 1–10 | $51 – $52 |
| 3 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 3 | $31 | $32 | $21 | 65% | 1–10 | $11 – $55 |
| 4 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $52 | $52 | $1 | 1% | 1–10 | $51 – $52 |
| 5 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $38 | $38 | $24 | 64% | 1–10 | $14 – $62 |
| 6 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 3 | $31 | $32 | $21 | 65% | 1–10 | $11 – $55 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 3 | $31 | $32 | $21 | 65% | 1–10 | $11 – $55 |
| 8 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $38 | $38 | $24 | 64% | 1–10 | $14 – $62 |
| 9 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 18 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · both | 4 | $2 | $3 | $2 | 57% | — | $2 – $7 |
| 19 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 5 | $2 | $3 | $2 | 59% | — | $2 – $7 |
| 20 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | $0 | 3% | — | $11 – $12 |
| 21 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $28 | $1 | 2% | — | $27 – $29 |
| 23 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $37 | $2 | 4% | — | $35 – $38 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $31 | $32 | $21 | 65% | — | $11 – $55 |
| 25 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7