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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Comprehensive eye exam, new patient

CPT 92004the billing code this page is about

A full evaluation of the eye and vision system, including dilation and a treatment plan, for a patient new to the practice; may span one or more visits.

Hospitals typically charge $183 cash for this outpatient procedure — the median across 600 hospitals that filed a usable cash price; the average of the middle 60% is $191. Most fall between $114 and $304 (20th–80th percentile).

Hospitals
600
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 600 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$76$119$183$269$385

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($76 vs $385).

How the prices are spread

$58 – $72: 25 hospitals$58$72 – $89: 29 hospitals$89 – $110: 31 hospitals$89$110 – $136: 66 hospitals$136 – $168: 102 hospitals$136$168 – $207: 65 hospitals$207 – $256: 80 hospitals$207$256 – $316: 70 hospitals$316 – $390: 47 hospitals$316$390 – $482: 28 hospitals$390median $183price bands are equal on a log scale
Hospitals per price band (543 of 600 — the bands cover the 5th to 95th percentile)
FromToHospitals
$58$7225
$72$8929
$89$11031
$110$13666
$136$168102
$168$20765
$207$25680
$256$31670
$316$39047
$390$48228

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$183
Cash as a multiple of Medicare1.35×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $183.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $185 across 11 hospitalsWA$185Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $236 across 18 hospitalsMN$236Illinois: median $132 across 24 hospitalsIL$132Wisconsin: median $158 across 38 hospitalsWI$158Michigan: median $172 across 17 hospitalsMI$172New York: median $255 across 59 hospitalsNY$255Massachusetts: median $194 across 10 hospitalsMA$194Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $312 across 17 hospitalsIA$312Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $274 across 37 hospitalsOH$274Pennsylvania: median $116 across 24 hospitalsPA$116New Jersey: median $143 across 15 hospitalsNJ$143Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $245 across 48 hospitalsCA$245Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $482 across 11 hospitalsKY$482West Virginia: median $137 across 17 hospitalsWV$137Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $123 across 13 hospitalsTN$123North Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $151 across 11 hospitalsSC$151Oklahoma: median $155 across 14 hospitalsOK$155Louisiana: median $85 across 21 hospitalsLA$85Mississippi: median $149 across 12 hospitalsMS$149Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $207 across 32 hospitalsGA$207Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $241 across 27 hospitalsTX$241Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $183. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY11$482+163%$115 – $482
Iowa IA17$312+70%$233 – $312
Ohio OH37$274+50%$186 – $385
New York NY59$255+39%$153 – $455
California CA48$245+34%$245 – $292
Texas TX27$241+32%$114 – $241
Minnesota MN18$236+29%$138 – $268
Georgia GA32$207+13%$147 – $269
Massachusetts MA10$194+6%$111 – $257
Washington WA11$185+1%$114 – $291
Michigan MI17$172−6%$101 – $183
Wisconsin WI38$158−14%$116 – $202
Oklahoma OK14$155−15%$155 – $263
South Carolina SC11$151−17%$99 – $289
Mississippi MS12$149−19%$116 – $157
New Jersey NJ15$143−22%$141 – $172
West Virginia WV17$137−25%$88 – $369
Illinois IL24$132−28%$107 – $306
Tennessee TN13$123−33%$58 – $166
Pennsylvania PA24$116−37%$57 – $178
Louisiana LA21$85−54%$46 – $150
Missouri MO9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $183.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care475$186$109 – $312
Children’s21$163$117 – $274
Critical access103$183$115 – $290
Ownership
For-profit39$186$115 – $289
Government89$153$103 – $308
Non-profit471$186$115 – $312
System affiliation
Part of a system498$176$114 – $292
Independent102$188$125 – $327

Cash price vs list price

Median list price (chargemaster)$310
Median cash price$183
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

366 hospitals filed a usable inpatient cash price for this code. The median is $186 and the average of the middle 60% is $192; most fall between $115 and $292.

Cash price percentiles, inpatient, across 366 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$85$121$186$269$385

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($85 vs $385).

Of the 399 hospitals that filed this code inpatient, 366 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

600 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 646 hospitals that filed this code at all gave us
Usable cash price — counted600
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code646

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Ophthalmologic and otologic diagnosis and treatment family.

Hospitals file this code under descriptions such as Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Comprehensive eye exam, new patient (CPT 92004) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92004-comprehensive-eye-exam-new-patient