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
$8
Average
$37
Median
$45
High
$125
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 7.3× 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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66 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Bronson Battle Creek Hospital Battle Creek, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 8 | Bronson Battle Creek Hospital Battle Creek, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 12 | Bronson Methodist Hospital Kalamazoo, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 13 | Bronson Methodist Hospital Kalamazoo, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 14 | Bronson South Haven Hospital South Haven, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | Bronson South Haven Hospital South Haven, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $118 | $113 | $8 | 7% | — | $101 – $118 |
| 18 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $61 | $61 | $1 | 2% | — | $59 – $62 |
| 21 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $61 | $61 | $1 | 2% | — | $59 – $62 |
| 22 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 24 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 25 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $54 | $54 | $3 | 6% | — | $50 – $57 |
← Payers reporting CPT 99174 · Snapshot 20261112T181611Z-3fa9fb76