Average Medicaid Eye Exam Payments in Boston, MA: $41.15
Avg. Paid
$41.15
Range
$0.53 – $122.57
Total Claims
701,137
Providers
306
Typical Payment Range
Typical Medicaid Eye Exam payments fall between $15.70 and $41.60 per claim (median: $27.93). The top 10% of payments exceed $57.73.
Based on per-provider averages across all Medicaid claims in this category.
Comprehensive eye examinations assess vision and check for eye diseases. Includes refraction, eye health evaluation, and screening for conditions like glaucoma.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Eye Exam in Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$75.15 | 98,349 | 96,831 |
|
Massachusetts Eye And Ear Infirmary
243 Charles St |
$26.29 | 60,081 | 57,871 |
|
Tufts Medical Center, Inc.
800 Washington St |
$63.23 | 43,862 | 42,684 |
|
Beth Israel Deaconess Medical Center, Inc.
330 Brookline Ave |
$50.89 | 26,544 | 25,260 |
|
Hongxia Li Chen
145 South St |
$46.54 | 21,722 | 21,676 |
|
Children'S Hospital Corporation
300 Longwood Ave |
$76.07 | 20,000 | 19,677 |
|
Melissa Mohammad
150 S Huntington Ave |
$40.86 | 13,307 | 12,961 |
|
Michelle Liang
800 Washington St |
$18.38 | 10,089 | 9,319 |
|
Avnish Arvind Deobhakta
1 Deaconess Rd |
$19.95 | 9,576 | 8,196 |
|
Lindsay Ann Grotting
243 Charles St |
$21.81 | 8,960 | 8,203 |
|
Fenway Community Health Center, Inc
1340 Boylston St |
$27.14 | 8,163 | 7,918 |
|
Nimali S Patel
165 Cambridge St |
$13.12 | 7,722 | 7,293 |
|
Scott H Greenstein
243 Charles St |
$29.41 | 7,392 | 7,346 |
|
Tufts Medical Center Inc.
Revenue And Cash Control |
$9.35 | 7,161 | 7,078 |
|
Sylvia Yoo
800 Washington St |
$56.49 | 7,113 | 7,033 |
|
Susan Marianne O'Shea
1341 Boylston St |
$36.91 | 6,831 | 6,796 |
|
John Brown Miller
243 Charles St |
$17.63 | 6,390 | 6,221 |
|
Douglas B Haigh
100 City Hall Plz |
$36.38 | 6,264 | 6,178 |
|
Torsten W Wiegand
50 Staniford St |
$23.28 | 6,196 | 5,321 |
|
Chirag P Shah
50 Staniford St |
$21.68 | 6,022 | 5,364 |
|
Kamden Kopani
800 Washington St |
$29.42 | 5,615 | 5,438 |
|
David A. Sola-Del Valle
319 A St Unit 208 |
$17.46 | 5,606 | 5,515 |
|
Silas L Wang
243 Charles St |
$33.42 | 5,439 | 5,388 |
|
Kirsten Madeline Johnson
800 Washington St |
$83.90 | 5,421 | 5,403 |
|
Jordan Davidner
243 Charles St |
$32.62 | 5,367 | 5,135 |
|
Scott Matthew Barb
243 Charles St |
$8.62 | 5,310 | 4,027 |
|
Catherine S Choi
800 Washington St # 450 |
$45.78 | 5,220 | 5,189 |
|
Brendan E Mccarthy
800 Huntington Ave |
$13.21 | 5,120 | 5,022 |
|
Lucy H.Y. Young
243 Charles St Meei |
$20.12 | 5,083 | 4,954 |
|
Phison Le
150 S Huntington Ave |
$29.60 | 5,047 | 4,965 |
|
Trinh Tu Khuu
1255 Boylston St |
$31.60 | 5,035 | 5,018 |
|
North End Community Health Committee Inc
332 Hanover Street |
$31.48 | 5,027 | 5,022 |
|
Chandrasekharan Krishnan
800 Washington St # 450 |
$21.83 | 4,810 | 4,670 |
|
Sheila Borboli-Gerogiannis
243 Charles Street |
$31.89 | 4,313 | 4,288 |
|
Marianeli Rodriguez
243 Charles St |
$17.79 | 4,254 | 2,888 |
|
Michael Carlo Giovingo
243 Charles St |
$30.03 | 4,055 | 3,533 |
|
Caroline Robyn Baumal
260 Tremont St |
$17.83 | 4,054 | 3,877 |
|
Adam Tristan Chin
50 Staniford St Ste 600 |
$22.02 | 4,030 | 3,444 |
|
Tomasz Stryjewski
243 Charles St |
$28.35 | 3,931 | 3,293 |
|
Tina S Cleary
50 Staniford St |
$18.39 | 3,836 | 3,126 |
|
Joseph F Griffith
300 Longwood Ave |
$67.36 | 3,827 | 3,787 |
|
Sarwat Salim
800 Washington St |
$18.04 | 3,610 | 3,431 |
|
Miriam Englander-Paschalis Ilios
50 Staniford St |
$21.79 | 3,430 | 2,605 |
|
Preeti Lalitha Mokka
300 Longwood Ave |
$58.31 | 3,363 | 3,360 |
|
Carolyn Wu
300 Longwood Ave |
$54.42 | 3,346 | 3,330 |
|
South Cove Community Health Center, Inc.
885 Washington St |
$28.71 | 3,337 | 3,311 |
|
Benjamin A Quamina
183 Massachusetts Ave |
$36.63 | 3,251 | 3,100 |
|
Jeffrey S Heier
50 Staniford St |
$20.99 | 3,235 | 2,826 |
|
Pratt Ophthalmology Associates Inc
800 Washington St |
$27.51 | 3,220 | 3,165 |
|
Atrius Health, Inc.
133 Brookline Ave |
$39.12 | 3,114 | 3,061 |
What to Expect: Eye Exam
A comprehensive eye exam takes 30-60 minutes. The doctor will test your visual acuity, check your peripheral vision, examine the front and back of your eyes, measure eye pressure (glaucoma screening), and determine your prescription. Your eyes may be dilated with drops, which temporarily causes light sensitivity and blurry close-up vision for a few hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 92015 | Refraction determination | $11.08 | 45,825,988 | 30,580 |
| 92014 | Eye exam estab pt comprehens | $53.49 | 34,678,723 | 31,373 |
| 92004 | Eye exam new patient compreh | $62.86 | 20,638,089 | 26,900 |
| 92012 | Eye exam estab pt intermedi | $41.74 | 10,441,311 | 12,861 |
| 92134 | Retinal OCT posterior segment | $17.76 | 9,310,449 | 6,690 |
| 92250 | Fundus photography | $28.59 | 7,948,707 | 10,428 |
| 92083 | Visual field exam extended | $31.87 | 3,202,240 | 4,820 |
| 92133 | Optic nerve imaging RNFL | $19.38 | 2,491,451 | 4,925 |
| 92002 | Eye exam new patient intermed | $39.06 | 1,337,321 | 3,576 |
| 92081 | Visual field exam limited | $8.73 | 1,037,034 | 1,303 |
| 92136 | Ophthalmic biometry | $20.12 | 671,455 | 1,857 |
| 92082 | Visual field exam intermed | $29.04 | 236,339 | 417 |
| 92132 | Anterior segment OCT | $15.77 | 89,204 | 192 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Eye Exam cost in Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Boston, MA is $41.15 per claim, based on 701,137 claims from 306 providers. Typical payments fall between $15.70 and $41.60. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Eye Exam in Boston, MA?
There are 306 Medicaid providers offering Eye Exam related services in Boston, MA according to public payment data.
What is the price range for Eye Exam in Boston, MA?
Medicaid reimbursement for Eye Exam in Boston, MA ranges from $0.53 to $122.57 per claim, with an average of $41.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
New York, NY
Avg $50.07
3,393,865 claims · 654 providers
Brooklyn, NY
Avg $43.97
3,226,981 claims · 558 providers
Chicago, IL
Avg $26.50
1,753,310 claims · 485 providers
Los Angeles, CA
Avg $18.49
1,694,440 claims · 571 providers
Bronx, NY
Avg $51.98
1,594,602 claims · 257 providers
San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
752,879 claims · 284 providers
Flushing, NY
Avg $55.73
752,320 claims · 93 providers
Other Procedures in Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims