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
$3
Average
$124
Median
$181
High
$181
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 37.0× 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
15 hospital rates
iThe hospitals that file a Magellan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 3 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 4 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 11 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 12 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 13 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 14 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Yale New Haven Hospital Haven, CT fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
← Payers reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7