How much does a Comprehensive eye exam cost?
Comprehensive eye exam (new patient) · CPT 92004 · A comprehensive eye exam for a new patient evaluates vision and eye health in detail.
The typical insurer-negotiated price for a Comprehensive eye exam (new patient) is about $162, with most between $119 and $240 ($236 cash/self-pay). Based on published rates from 1,560 U.S. hospitals. Hospital list charges run about $375 — roughly 2.3× higher.
Source: medians across 1,560hospitals' machine-readable price files (required by federal law since 2021). Figures are estimates and vary by hospital, region, insurer, and plan.
Comprehensive eye exam (new patient) cost — frequently asked questions
How much does a Comprehensive eye exam (new patient) cost with insurance?
The typical insurer-negotiated rate for a Comprehensive eye exam (new patient) is about $162, with most falling between $119 and $240, based on published rates from 1,560 U.S. hospitals. What you actually pay depends on your plan's deductible and coinsurance.
How much does a Comprehensive eye exam (new patient) cost without insurance?
Cash or self-pay prices for a Comprehensive eye exam (new patient) run around $236. Uninsured patients are often billed the much higher hospital "list" charge first (about $375), so it's worth asking for the cash or self-pay rate and negotiating.
Why is my hospital Comprehensive eye exam (new patient) bill so much higher?
Hospital "list" (chargemaster) prices for a Comprehensive eye exam (new patient) run about $375 — roughly 2.3× the $162 insurers actually pay. The list price is a starting point almost no one pays; the negotiated and cash rates are the realistic benchmark.
Can I negotiate the cost of a Comprehensive eye exam (new patient)?
Yes. If you were charged well above the typical negotiated rate (about $162), that gap is negotiable. Upfronte audits your bill against real hospital pricing data and can negotiate it down on your behalf — no savings, no fee.
Were you charged more than $162?
Upload your bill and Upfronte will check it against real hospital pricing data and negotiate overcharges. No savings, no fee.
Upload Your BillComprehensive eye exam (new patient) cost by location
Median negotiated prices for specific states and metro areas.
Metro areas
- Austin
- Charlotte
- Dallas–Fort Worth
- Denver
- Houston
- Las Vegas
- New York City
- Orlando
- Philadelphia
- Phoenix
- San Antonio
States
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- New Jersey
- New York
- North Carolina
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- South Carolina
- South Dakota
- Tennessee
- Texas
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- Wisconsin