Bilateral dilated retinal eye exam

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

Bilat dil retinal exam

Payers reporting HCPCS S3000

Payer pricing summary

Low

Average

$51

Median

$56

High

$87

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	44	$113	$110	$63	57%	—	$31 – $304
2	Aetna fee schedule · outpatient · +5 other terms	20	$32	$85	$83	98%	—	$32 – $315
3	Anthem facility · case rate · outpatient · +4 other terms	15	$62	$68	$16	23%	—	$42 – $106
4	Caresource facility · case rate · outpatient · +1 other terms	15	$63	$68	$16	23%	—	$42 – $108
5	Molina facility · case rate · outpatient · +1 other terms	15	$62	$68	$16	23%	—	$44 – $106
6	UnitedHealthcare facility · case rate · outpatient · +3 other terms	15	$63	$69	$16	23%	—	$44 – $108
7	Wellmark fee schedule · both	13	$39	$39	—	—	—	$39 – $39
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$93	$71	$39	55%	—	$31 – $116
9	Optum facility · case rate · outpatient · +1 other terms	11	$59	$64	$14	22%	—	$53 – $96
10	Cigna professional · fee schedule · outpatient · +1 other terms	10	$25	$24	$2	8%	—	$20 – $25
11	Highmark fee schedule · outpatient · +3 other terms	10	$25	$25	$1	3%	—	$22 – $25
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$32	$32	—	—	—	$32 – $32
13	Humana fee schedule · inpatient · +3 other terms	5	$32	$32	—	—	—	$32 – $32
14	First Health professional · fee schedule · both	3	$45	$45	$10	23%	—	$35 – $55
15	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$48	$48	—	—	—	$48 – $48
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Nc facility · fee schedule · outpatient	1	$86	$86	—	—	—	$86 – $86
18	Bcbs Nv fee schedule · outpatient	1	$56	$56	$12	22%	—	$43 – $68
19	Bcbs Vt professional · fee schedule · outpatient	1	$32	$32	—	—	—	$32 – $32