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
$8
Median
$5
High
$34
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 1.6× 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.
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34 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $5 | $5 | $0 | 8% | — | $5 – $6 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 15 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 99174 · Snapshot 20261112T181611Z-3fa9fb76