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
$13
Median
$5
High
$85
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
95 hospitals; the 90th percentile is 29.2× 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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100 hospital rates
iThe hospitals that file a WellCare 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 66 | $71 – $71 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $5 | $5 | $0 | 2% | — | $5 – $6 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 18 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 20 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $4 | $4 | $0 | 6% | — | $4 – $5 |
| 22 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $1 | $1 | 218% | — | $0 – $4 |
| 24 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $1 | $1 | 218% | — | $0 – $4 |
| 25 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $1 | $1 | 218% | — | $0 – $4 |
← Payers reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7