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
$2
Average
$10
Median
$6
High
$85
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 4.7× 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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74 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $7 | $7 | $0 | 2% | — | $7 – $7 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Charles A. Dean Memorial Hospital Greenville, ME professional · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 13 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 2 | $6 | $6 | $0 | 1% | — | $6 – $6 |
| 17 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 20 | Froedtert Bluemound Rehabilitation Hospital Wauwatosa, WI case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Jennie Stuart Medical Center Hopkinsville, KY facility · case rate · outpatient | 1 | $7 | $7 | $2 | 25% | — | $5 – $9 |
| 25 | MaineHealth Belfast, ME fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting CPT 99174 · Snapshot 20261112T181611Z-3fa9fb76