Routine eye examination

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB NEW ROUTINE OPHTHALMOLOGICAL EXAM

Payers reporting HCPCS S0620

Payer pricing summary

Low

Average

$113

Median

$93

High

$352

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	93	$176	$170	$92	54%	—	$0 – $511
2	Bcbs Tx fee schedule · outpatient · +1 other terms	26	$175	$163	$60	37%	—	$56 – $295
3	Aetna fee schedule · outpatient · +13 other terms	22	$41	$89	$83	93%	—	$38 – $380
4	Cigna facility · fee schedule · outpatient · +8 other terms	18	$42	$67	$59	88%	—	$31 – $315
5	Molina facility · case rate · outpatient · +8 other terms	18	$66	$83	$37	45%	—	$44 – $160
6	Anthem facility · case rate · outpatient · +7 other terms	15	$62	$68	$16	23%	—	$42 – $106
7	Caresource facility · case rate · outpatient · +1 other terms	15	$63	$68	$16	23%	—	$42 – $108
8	UnitedHealthcare facility · case rate · outpatient · +11 other terms	15	$63	$69	$16	23%	—	$44 – $108
9	Humana facility · fee schedule · outpatient · +8 other terms	14	$134	$133	$2	1%	—	$129 – $134
10	Wellmark fee schedule · both · +3 other terms	13	$133	$131	$14	11%	—	$69 – $148
11	Amerihealth Caritas fee schedule · both	12	$76	$76	—	—	—	$76 – $76
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$142	$108	$60	55%	—	$48 – $178
13	WellCare fee schedule · both · +4 other terms	12	$76	$76	$0	0%	—	$76 – $76
14	Optum facility · case rate · outpatient · +1 other terms	11	$59	$64	$14	22%	—	$53 – $96
15	Highmark fee schedule · outpatient · +3 other terms	10	$44	$44	—	—	—	$44 – $44
16	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$39	$39	—	—	—	$39 – $39
17	MultiPlan percent of total billed charges · outpatientfrom % of charges · +6 other terms	5	$181	$289	$164	57%	—	$0 – $423
18	Oscar percent of total billed charges · bothfrom % of charges · +4 other terms	5	$75	$76	$4	5%	—	$75 – $88
19	Ambetter fee schedule · both	4	$0	$0	—	—	—	$0 – $0
20	Phcs percent of total billed charges · bothfrom % of charges · +1 other terms	4	$110	$110	—	—	—	$110 – $110
21	Tricare facility · other · outpatient · +1 other terms	4	$88	$88	—	—	—	$88 – $88
22	First Health professional · fee schedule · both · +2 other terms	3	$44	$44	—	—	—	$44 – $44
23	Medica fee schedule · outpatient · +1 other terms	3	$77	$93	$38	41%	—	$74 – $187
24	Medicaid fee schedule · outpatient	3	$1	$63	$88	139%	—	$1 – $187
25	Healthpartners professional · fee schedule · both · +4 other terms	2	$116	$116	$17	15%	—	$99 – $133

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