How much does Comprehensive eye exam (established) cost in Massachusetts?

Comprehensive eye exam (established) · CPT 92014 · State: Massachusetts

In Massachusetts, the typical insurer-negotiated price for Comprehensive eye exam (established) is about $135, with most between $80 and $185 ($260 cash/self-pay). Based on 23 Massachusetts hospitals — 9% lower than the national typical of $148. Hospital list charges run about $271 (2× higher).

Insurer-negotiated
$135
Massachusetts · $80–$185
Cash / self-pay
$260
typical cash price
Hospital list charge
$271
2× the negotiated rate

Source: medians across 23 Massachusetts hospitals' published price files (≥5 reporting). See the national Comprehensive eye exam (established) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Comprehensive eye exam (established) cost in Massachusetts — FAQs

How much does a Comprehensive eye exam (established) cost in Massachusetts?

In Massachusetts, the typical insurer-negotiated price for a Comprehensive eye exam (established) is about $135, with most between $80 and $185, based on 23 Massachusetts hospitals. That's 9% lower than the national typical of $148.

How much does a Comprehensive eye exam (established) cost without insurance in Massachusetts?

Cash or self-pay prices for a Comprehensive eye exam (established) in Massachusetts run around $260. Hospitals often bill the higher "list" charge first (about $271), so ask for the cash or self-pay rate.

Why is my Massachusetts hospital bill for a Comprehensive eye exam (established) so high?

Massachusetts hospital "list" charges for a Comprehensive eye exam (established) run about $271 — roughly 2× the $135 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of a Comprehensive eye exam (established) in Massachusetts?

Yes. If a Massachusetts hospital charged you well above the typical negotiated rate (about $135), that gap is negotiable. Upfronte audits your bill against real Massachusetts hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $135 in Massachusetts?

Upload your bill and Upfronte will check it against real Massachusetts hospital prices and negotiate overcharges. No savings, no fee.

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