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
$5
Average
$39
Median
$14
High
$524
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
168 hospitals; the 90th percentile is 9.9× 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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219 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 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $8 | $8 | $0 | 3% | 17 | $8 – $8 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $68 | $69 | $1 | 2% | 1–10 | $68 – $72 |
| 3 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $8 | $8 | $1 | 10% | — | $8 – $9 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Alexian Brothers Behavioral Health Hospital Estates, IL other · both | 3 | $180 | $180 | — | — | — | $180 – $180 |
| 10 | Alexian Brothers Medical Center Village, IL other · both | 4 | $180 | $154 | $45 | 29% | — | $75 – $180 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 12 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 20 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | $1 | 6% | — | $22 – $24 |
| 21 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $6 | $6 | $0 | 7% | — | $5 – $6 |
| 24 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting CPT 99174 · Snapshot 20261112T181611Z-3fa9fb76