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
HC Pbb Ophth Medical Xm&Eval Compre New Pt 1/> Vst
Great Falls, MT
See all hospitals reporting CPT 92004 →Price type
Benefis Senior Services’s median price of $136 is 6% below the median hospital's median price ($145), higher than 41% of the 1,426 hospitals reporting CPT 92004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 6 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 | Aetna bhs hb medicare other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 2 | Anthem bhs hb medicare other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 3 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 4 | Kaiser bhs hb medicare other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 5 | Medicare bhs hb medicare other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 6 | WellCare bhs hb medicare other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
Last updated: Mar 26, 2026
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