How much does Comprehensive eye exam (new patient) cost in Pennsylvania?
Comprehensive eye exam (new patient) · CPT 92004 · State: Pennsylvania
In Pennsylvania, the typical insurer-negotiated price for Comprehensive eye exam (new patient) is about $117, with most between $113 and $138 ($134 cash/self-pay). Based on 20 Pennsylvania hospitals — 28% lower than the national typical of $162. Hospital list charges run about $259 (2.2× higher).
Source: medians across 20 Pennsylvania 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 Pennsylvania — FAQs
How much does a Comprehensive eye exam (new patient) cost in Pennsylvania?
In Pennsylvania, the typical insurer-negotiated price for a Comprehensive eye exam (new patient) is about $117, with most between $113 and $138, based on 20 Pennsylvania hospitals. That's 28% lower than the national typical of $162.
How much does a Comprehensive eye exam (new patient) cost without insurance in Pennsylvania?
Cash or self-pay prices for a Comprehensive eye exam (new patient) in Pennsylvania run around $134. Hospitals often bill the higher "list" charge first (about $259), so ask for the cash or self-pay rate.
Why is my Pennsylvania hospital bill for a Comprehensive eye exam (new patient) so high?
Pennsylvania hospital "list" charges for a Comprehensive eye exam (new patient) run about $259 — roughly 2.2× the $117 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 Pennsylvania?
Yes. If a Pennsylvania hospital charged you well above the typical negotiated rate (about $117), that gap is negotiable. Upfronte audits your bill against real Pennsylvania hospital pricing data and negotiates it down on your behalf — no savings, no fee.
Charged more than $117 in Pennsylvania?
Upload your bill and Upfronte will check it against real Pennsylvania hospital prices and negotiate overcharges. No savings, no fee.
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