Eye exam and evaluation for an established patient at Blessing Hospital

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

PR OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT

Quincy, IL

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Pricing by billing methodology

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How this price compares nationally

Blessing Hospital’s median price of $141 is 3% above the median hospital's median price ($137), higher than 54% 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 Blessing Hospital

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	$41	$41	—	—	—	$41 – $41
2	UnitedHealthcare medicare advantage professional · case rate · both	$41	$41	—	—	—	$41 – $41
3	Blue Cross Blue Shield commercial professional · fee schedule · both	$66	$66	—	—	—	$66 – $66
4	UnitedHealthcare commercial professional · fee schedule · both	$79	$79	—	—	—	$79 – $79
5	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
6	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
7	Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
8	Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
9	Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
10	Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
11	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
12	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
13	Bcbs Il commercial professional · fee schedule · both	$147	$147	$40	27%	—	$108 – $187
14	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
16	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
18	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
19	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
20	UnitedHealthcare medicare advantage facility · case rate · outpatient	$153	$153	—	—	—	$153 – $153
21	Humana commercial professional · percent of total billed charges · bothfrom % of charges	$176	$176	—	—	—	$176 – $176
22	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$188	$188	—	—	—	$188 – $188

Last updated: Jun 8, 2026

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