Why is the price range for Comprehensive Eye Exam, Established Patient so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.9× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

What's the cash price for Comprehensive Eye Exam, Established Patient if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $171. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

What does CPT 92014 mean?

CPT 92014 is the CPT (Current Procedural Terminology) code for Comprehensive Eye Exam, Established Patient. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Comprehensive Eye Exam, Established Patient

CPT 9201433 Colorado hospitals reporting

Comprehensive ophthalmologic exam for an established patient, including refraction. Recommended every 1-2 years for adults 50+ to screen for cataracts and glaucoma.

Typical insured price · Colorado

$74to$212

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $151.

$74$212

Cash price (median)

$171

What you'd pay self-pay

Gross charge (median)

$414

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 33 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 92014
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 33

How they price Comprehensive Eye Exam, Established Patient

Across 33 Colorado hospitals that publish a commercial negotiated rate for CPT 92014, the typical insured price for Comprehensive Eye Exam, Established Patient runs $74 to $212 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $151 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $171, against a median gross charge of $414.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

· Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
· In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
· Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
· Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

33 hospitals

Pin a plan

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Position · Median	Negotiated band	Cash	Payers
Commonspirit St Anthony North Hospital Median negotiated $72 25th–75th $72 – $72 Cash — Payers 11	$72	$72 – $72	—	11
Commonspirit St Francis Hospital Median negotiated $72 25th–75th $72 – $72 Cash — Payers 10	$72	$72 – $72	—	10
Commonspirit St Mary Corwin Hospital Pueblo Median negotiated $72 25th–75th $72 – $72 Cash — Payers 10	$72	$72 – $72	—	10
Commonspirit St Francis Hospital Interquest Median negotiated $72 25th–75th $72 – $72 Cash — Payers 9	$72	$72 – $72	—	9
Commonspirit Mercy Hospital Durango Median negotiated $72 25th–75th $72 – $72 Cash — Payers 10	$72	$72 – $72	—	10
Commonspirit St Anthony Hospital Lakewood Median negotiated $72 25th–75th $72 – $72 Cash — Payers 6	$72	$72 – $72	—	6
Commonspirit St Elizabeth Hospital Fort Morgan Median negotiated $72 25th–75th $72 – $72 Cash — Payers 8	$72	$72 – $72	—	8
Commonspirit Orthocolorado Hospital Median negotiated $72 25th–75th $72 – $72 Cash — Payers 9	$72	$72 – $72	—	9
Commonspirit Longmont United Hospital Median negotiated $74 25th–75th $74 – $74 Cash — Payers 11	$74	$74 – $74	—	11
Uchealth Greeley Hospital Median negotiated $129 25th–75th $129 – $304 Cash — Payers 8	$129	$129 – $304	—	8
Uchealth Yampa Valley Medical Center Steamboat Springs Median negotiated $130 25th–75th $130 – $130 Cash — Payers 8	$130	$130 – $130	—	8
Uchealth Grandview Hospital Colorado Springs Median negotiated $130 25th–75th $130 – $339 Cash — Payers 8	$130	$130 – $339	—	8
Uchealth Medical Center of the Rockies Loveland Median negotiated $130 25th–75th $130 – $349 Cash — Payers 8	$130	$130 – $349	—	8
Uchealth Highlands Ranch Hospital Median negotiated $130 25th–75th $130 – $351 Cash — Payers 8	$130	$130 – $351	—	8
Uchealth Poudre Valley Hospital Fort Collins Median negotiated $130 25th–75th $130 – $349 Cash — Payers 8	$130	$130 – $349	—	8
Denver Health Medical Center Gross charge $281 Median negotiated $140 25th–75th $97 – $140 Cash $98 Payers 4	$140	$97 – $140	$98	4
Boulder Community Health Foothills Hospital Median negotiated $151 25th–75th $126 – $197 Cash — Payers 16	$151	$126 – $197	—	16
Children S Hospital Colorado Colorado Springs Gross charge $263 Median negotiated $171 25th–75th $147 – $197 Cash $171 Payers 33	$171	$147 – $197	$171	33
Uchealth Longs Peak Hospital Longmont Median negotiated $207 25th–75th $130 – $348 Cash — Payers 8	$207	$130 – $348	—	8
Uchealth Memorial Hospital North Colorado Springs Median negotiated $211 25th–75th $130 – $442 Cash — Payers 8	$211	$130 – $442	—	8
Uchealth Memorial Hospital Central Colorado Springs Median negotiated $211 25th–75th $130 – $442 Cash — Payers 8	$211	$130 – $442	—	8
Hca Healthone Swedish Medical Center Median negotiated $212 25th–75th $212 – $212 Cash — Payers 1	$212	$212 – $212	—	1
Hca Healthone Presbyterian St Luke S Medical Center Median negotiated $212 25th–75th $212 – $212 Cash — Payers 1	$212	$212 – $212	—	1
Hca Healthone Mountain Ridge Thornton Median negotiated $212 25th–75th $212 – $212 Cash — Payers 1	$212	$212 – $212	—	1
Hca Healthone Rose Medical Center Median negotiated $212 25th–75th $212 – $212 Cash — Payers 1	$212	$212 – $212	—	1
Hca Healthone Sky Ridge Medical Center Median negotiated $212 25th–75th $212 – $212 Cash — Payers 1	$212	$212 – $212	—	1
Hca Healthone Aurora Medical Center of Aurora Median negotiated $212 25th–75th $212 – $212 Cash — Payers 1	$212	$212 – $212	—	1
Uchealth Parkview Medical Center Pueblo Median negotiated $214 25th–75th $130 – $539 Cash — Payers 7	$214	$130 – $539	—	7
Commonspirit St Anthony Summit Medical Center Gross charge $414 Median negotiated $248 25th–75th $123 – $360 Cash $165 Payers 13	$248	$123 – $360	$165	13
Uchealth University of Colorado Hospital Aurora Gross charge $590 Median negotiated $296 25th–75th $206 – $354 Cash $207 Payers 15	$296	$206 – $354	$207	15
Uchealth Estes Valley Medical Center Estes Park Gross charge $533 Median negotiated $506 25th–75th $261 – $506 Cash $400 Payers 15	$506	$261 – $506	$400	15
Pikes Peak Regional Hospital Woodland Park Median negotiated $541 25th–75th $473 – $626 Cash — Payers 2	$541	$473 – $626	—	2
Commonspirit St Thomas More Hospital Ca on City Median negotiated $619 25th–75th $619 – $619 Cash — Payers 1	$619	$619 – $619	—	1

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for Comprehensive Eye Exam, Established Patient in Colorado?: Across 33 Colorado hospitals reporting a commercial negotiated rate for CPT 92014, the 25th-to-75th percentile band runs $74 to $212 per hospital median. The 50th-percentile (Colorado median) is $151.
Why is the price range for Comprehensive Eye Exam, Established Patient so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.9× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
What's the cash price for Comprehensive Eye Exam, Established Patient if I don't have insurance?: The median discounted cash price across reporting Colorado hospitals is $171. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
What does CPT 92014 mean?: CPT 92014 is the CPT (Current Procedural Terminology) code for Comprehensive Eye Exam, Established Patient. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.