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
$5
Average
$8
Median
$8
High
$15
Each hospital's average Regence rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 2.2× 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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35 hospital rates
iThe hospitals that file a Regence 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 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 14 | $12 | $10 | $4 | 39% | — | $5 – $15 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $6 | $5 | $1 | 15% | — | $4 – $6 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $6 | $5 | $1 | 15% | — | $4 – $6 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $6 | $5 | $1 | 15% | — | $4 – $6 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $6 | $5 | $1 | 15% | — | $4 – $6 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $6 | $5 | $1 | 15% | — | $4 – $6 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 10 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 14 | $12 | $10 | $4 | 39% | — | $5 – $15 |
| 11 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 12 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | MID-VALLEY HEALTHCARE INC Lebanon, OR professional · fee schedule · outpatient | 14 | $12 | $10 | $4 | 39% | — | $5 – $15 |
| 15 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $6 | $6 | $0 | 6% | — | $5 – $6 |
| 17 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $6 | $6 | $0 | 4% | — | $6 – $6 |
| 18 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $6 | $6 | $0 | 6% | — | $5 – $6 |
| 19 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 4 | $7 | $7 | $0 | 4% | — | $7 – $7 |
| 21 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR professional · fee schedule · outpatient | 14 | $12 | $10 | $4 | 39% | — | $5 – $15 |
| 22 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR professional · fee schedule · outpatient | 14 | $12 | $10 | $4 | 39% | — | $5 – $15 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID fee schedule · outpatient | 3 | $12 | $12 | $0 | 2% | — | $11 – $12 |
| 25 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7