How much does a Comprehensive eye exam cost in Massachusetts?
Comprehensive eye exam (new patient) · CPT 92004 · State: Massachusetts
In Massachusetts, the typical insurer-negotiated price for a Comprehensive eye exam (new patient) is about $140, with most between $104 and $208 ($346 cash/self-pay). Based on 22 Massachusetts hospitals — 14% lower than the national typical of $162. Hospital list charges run about $346 (2.5× higher).
Source: medians across 22 Massachusetts hospitals' published price files (≥5 reporting). See the national Comprehensive eye exam (new patient) cost for the full picture. Estimates vary by hospital, insurer, and plan.
Comprehensive eye exam (new patient) cost in Massachusetts — FAQs
How much does a Comprehensive eye exam (new patient) cost in Massachusetts?
In Massachusetts, the typical insurer-negotiated price for a Comprehensive eye exam (new patient) is about $140, with most between $104 and $208, based on 22 Massachusetts hospitals. That's 14% lower than the national typical of $162.
How much does a Comprehensive eye exam (new patient) cost without insurance in Massachusetts?
Cash or self-pay prices for a Comprehensive eye exam (new patient) in Massachusetts run around $346. Hospitals often bill the higher "list" charge first (about $346), so ask for the cash or self-pay rate.
Why is my Massachusetts hospital bill for a Comprehensive eye exam (new patient) so high?
Massachusetts hospital "list" charges for a Comprehensive eye exam (new patient) run about $346 — roughly 2.5× the $140 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 (new patient) in Massachusetts?
Yes. If a Massachusetts hospital charged you well above the typical negotiated rate (about $140), 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 $140 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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