Comprehensive eye exam for new patient at Benefis Hospitals Inc

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

Ophth Medical Xm&Eval Compre New Pt 1/> Vst

Falls, MT

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How this price compares nationally

Benefis Hospitals Inc’s median price of $138 is 5% below the median hospital's median price ($145), higher than 43% of the 1,426 hospitals reporting CPT 92004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92004 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 11 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$101	$101	$4	4%	—	$98 – $105
2	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges	$107	$107	$4	4%	—	$103 – $111
3	Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
4	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges	$117	$117	$4	4%	—	$113 – $121
5	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$124	$124	$4	4%	—	$120 – $129
6	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$127	$127	$4	4%	—	$122 – $131
7	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$132	$132	$5	4%	—	$128 – $137
8	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges	$132	$132	$5	4%	—	$128 – $137
9	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$134	$134	$5	4%	—	$129 – $138
10	Aetna bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
11	Anthem bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
12	Blue Cross Blue Shield bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
13	Kaiser bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
14	Medicare bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
15	WellCare bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
16	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$140	$140	$5	4%	—	$135 – $145
17	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$140	$140	$5	4%	—	$135 – $145
18	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$140	$140	$5	4%	—	$135 – $145
19	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$140	$140	$5	4%	—	$135 – $145
20	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$143	$143	$5	4%	—	$138 – $148
21	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$143	$143	$5	4%	—	$138 – $148
22	Cigna bhs hb allegiance fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
23	Healthpartners bhs hb allegiance fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
24	Kaiser bhs hb allegiance fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
25	Medical Mutual bhs hb allegiance fee schedule · outpatient	$146	$146	—	—	—	$146 – $146

Page 1 of 2 · 26 rates

Last updated: Mar 26, 2026

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