Eye exam and evaluation for an established 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 Intermediate Estab Pt

Falls, MT

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Pricing by billing methodology

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How this price compares nationally

Benefis Hospitals Inc’s median price of $110 is 20% below the median hospital's median price ($137), higher than 24% of the 1,374 hospitals reporting CPT 92012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92012 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 healthy montana kids fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
2	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$77	$77	$21	27%	—	$56 – $98
3	Cigna bhs hb allegiance fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
4	Healthpartners bhs hb allegiance fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
5	Kaiser bhs hb allegiance fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
6	Medical Mutual bhs hb allegiance fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
7	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges	$81	$81	$22	27%	—	$59 – $103
8	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges	$89	$89	$24	27%	—	$65 – $113
9	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$94	$94	$26	27%	—	$69 – $120
10	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$96	$96	$26	27%	—	$70 – $122
11	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$100	$100	$27	27%	—	$73 – $128
12	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges	$100	$100	$27	27%	—	$73 – $128
13	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$101	$101	$28	27%	—	$74 – $129
14	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$106	$106	$29	27%	—	$77 – $135
15	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$106	$106	$29	27%	—	$77 – $135
16	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$106	$106	$29	27%	—	$77 – $135
17	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$106	$106	$29	27%	—	$77 – $135
18	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$109	$109	$29	27%	—	$79 – $138
19	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$109	$109	$29	27%	—	$79 – $138
20	UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges	$112	$112	$30	27%	—	$82 – $143
21	Aetna bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
22	Anthem bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
23	Blue Cross Blue Shield bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
24	Kaiser bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136
25	Medicare bhs hb medicare other · outpatient	$136	$136	—	—	—	$136 – $136

Page 1 of 2 · 26 rates

Last updated: Mar 26, 2026

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