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
$1
Average
$80
Median
$26
High
$835
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 34.8× 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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110 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 9 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 10 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 11 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 12 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 13 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 14 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $1 | 2% | — | $42 – $44 |
| 15 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 18 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 20 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 21 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 23 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 24 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 25 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7