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
$55
Median
$11
High
$1.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
228 hospitals; the 90th percentile is 27.3× 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.
Filter by billing methodology
Filter by billing class
294 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 2 | $18 | $18 | — | — | 1,407–1,416 | $18 – $18 |
| 2 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $26 | $26 | — | — | 59 | $26 – $26 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 44 | $71 – $71 |
| 4 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $7 | $7 | $0 | 3% | 40 | $6 – $7 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $48 | $48 | $1 | 2% | 33 | $48 – $50 |
| 6 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | 25 | $61 – $61 |
| 7 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 13 | $47 – $47 |
| 8 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 2–20 | $26 – $26 |
| 9 | 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 |
| 10 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $2 | 8% | 2–20 | $22 – $26 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 12 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 13 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 14 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 15 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 16 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 17 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 18 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 19 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 20 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 21 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 22 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 24 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 25 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | 1–10 | $203 – $203 |
← Payers reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7