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
$16
Median
$5
High
$145
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
129 hospitals; the 90th percentile is 21.4× 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
142 hospital rates
iThe hospitals that file a WellCare 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 25 | $7 – $7 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 25 | $7 – $7 |
| 3 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 4 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 5 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 6 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 7 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 13 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 3 | $145 | $145 | — | — | — | $145 – $145 |
| 15 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Charles A. Dean Memorial Hospital Greenville, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 22 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $2 | $2 | $0 | 16% | — | $2 – $3 |
| 25 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $2 | $4 | 141% | — | $0 – $7 |
← Payers reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7