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
ROUTINE OPHTHALMOLOGICAL EXAMINATION INCLUDING REFRACTION; ESTABLISHED PATIENT
Omaha, NE
See all hospitals reporting HCPCS S0621 →Price type
Nebraska Medical Center’s median price of $79 is 17% below the median hospital's median price ($94), higher than 46% of the 324 hospitals reporting HCPCS S0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Molina molina mcr adv percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Blue Cross Blue Shield bcbs mcr adv percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 3 | Blue Cross Blue Shield bcbs-all other plans percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Medica medica elevate fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Aetna aetna comm - all other plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 7 | Medica medica mcaid fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 8 | UnitedHealthcare uhc mcaid fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 9 | Medica medica comm - all other plans fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Molina molina mcaid - all other plans fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
Last updated: Aug 10, 2026
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