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
PR OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
Quincy, IL
See all hospitals reporting CPT 92004 →Price type
Blessing Hospital’s median price of $237 is 64% above the median hospital's median price ($145), higher than 81% 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: 7 payers, 22 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 commercial professional · case rate · both | $77 | $77 | — | — | — | $77 – $77 |
| 2 | UnitedHealthcare medicare advantage professional · case rate · both | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Blue Cross Blue Shield commercial professional · fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $134 | $134 | — | — | — | $134 – $134 |
| 5 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 8 | Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 9 | Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 10 | Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 11 | Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 18 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 19 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 20 | Bcbs Il commercial professional · fee schedule · both | $258 | $258 | $57 | 22% | — | $201 – $315 |
| 21 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 22 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $316 | $316 | — | — | — | $316 – $316 |
Last updated: Jun 8, 2026
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