Eye exam and evaluation for an established patient at Hmh Hospitals Corporation

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

Hackensack, NJ

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Pricing by billing methodology

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How this price compares nationally

Hmh Hospitals Corporation’s median price of $307 is 124% above the median hospital's median price ($137), higher than 92% 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 Hmh Hospitals Corporation

Negotiated rates from the hospital’s own file: 8 payers, 16 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	Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
2	Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
3	Optum managed medicaid facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
4	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
5	Optum medicare advantage facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
6	WellCare managed medicaid facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
7	WellCare medicare advantage facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
8	Aetna medicare advantage facility · fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
9	Cigna bh facility · percent of total billed charges · outpatientfrom % of charges	$298	$298	—	—	—	$298 – $298
10	MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
11	Aetna asa facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
12	Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
13	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
14	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$360	$360	—	—	—	$360 – $360
15	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$360	$360	—	—	—	$360 – $360
16	UnitedHealthcare hmo facility · other · outpatient	$4.9k	$4.9k	—	—	—	$4.9k – $4.9k

Last updated: Dec 31, 2025

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