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
HC Instrument Based Ocular Scr Bi W/Rmt
Low
$0
Average
$85
Median
$19
High
$2.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
328 hospitals; the 90th percentile is 21.0× 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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400 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | 12 | $4 – $4 |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | 12 | $4 – $4 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $65 | $66 | $3 | 4% | 2–20 | $63 – $72 |
| 4 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $59 | $59 | $3 | 4% | 1–10 | $56 – $64 |
| 5 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $6 | $6 | $1 | 18% | 1–10 | $5 – $7 |
| 6 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $59 | $59 | $3 | 4% | 1–10 | $56 – $64 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 7 | $59 | $56 | $10 | 19% | 1–10 | $29 – $64 |
| 8 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $5 | $5 | $0 | 2% | 1–10 | $5 – $5 |
| 9 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $35 | $38 | $6 | 16% | — | $33 – $46 |
| 10 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $35 | $67 | $47 | 70% | — | $33 – $132 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $10 | $9 | $2 | 24% | — | $6 – $11 |
| 13 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $14 | $14 | $0 | 2% | — | $14 – $14 |
| 15 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $24 | $24 | $2 | 7% | — | $22 – $26 |
| 16 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $24 | $24 | $2 | 7% | — | $22 – $26 |
| 17 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $138 | $137 | $7 | 5% | — | $127 – $145 |
| 18 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $140 | $139 | $7 | 5% | — | $129 – $147 |
| 19 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $135 | $134 | $7 | 5% | — | $125 – $142 |
| 20 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $85 | $85 | $4 | 5% | — | $79 – $90 |
| 21 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $138 | $137 | $7 | 5% | — | $128 – $146 |
| 22 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $139 | $138 | $7 | 5% | — | $129 – $147 |
| 23 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $139 | $138 | $7 | 5% | — | $129 – $147 |
| 24 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $137 | $136 | $7 | 5% | — | $127 – $144 |
| 25 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $65 | $65 | $3 | 5% | — | $60 – $69 |
← Payers reporting CPT 99174 · Snapshot 20261112T181611Z-3fa9fb76