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
Instrument Based Ocular Scr Bi W/Onsite Analysis
Low
$0
Average
$106
Median
$8
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
317 hospitals; the 90th percentile is 19.1× 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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439 hospital rates
iThe hospitals that file a Aetna 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $25 | $25 | — | — | 1,934 | $25 – $25 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $73 | $71 | $15 | 20% | 192–201 | $53 – $88 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 73 | $71 – $71 |
| 4 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $48 | $2 | 4% | 70 | $46 – $50 |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $33 | $33 | $2 | 6% | 48 | $31 – $35 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $48 | — | — | 14 | $48 – $48 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $5 | 24% | 2–20 | $17 – $27 |
| 8 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 2–20 | $62 – $62 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 2–20 | $68 – $68 |
| 10 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $3 | $3 | — | — | 2–20 | $3 – $3 |
| 11 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 2–20 | $71 – $71 |
| 12 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $2 | 8% | 2–20 | $21 – $24 |
| 13 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 2–20 | $73 – $73 |
| 14 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 25 | $41 | $43 | $5 | 13% | 2–20 | $41 – $69 |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $3 | $3 | — | — | 2–20 | $3 – $3 |
| 16 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 17 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 18 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 19 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 20 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 21 | MultiCare Capital Medical Center Lacey, WA other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 22 | MultiCare Covington Medical Center Covington, WA other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 23 | MultiCare Deaconess Hospital Spokane, WA other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 24 | MultiCare Valley Hospital Spokane Valley, WA other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 25 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | $6 | 50% | 1–10 | $6 – $19 |
← Payers reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7