Average Medicaid Eye Exam Payments in Cambridge, MA: $57.82
Avg. Paid
$57.82
Range
$12.34 – $97.43
Total Claims
97,174
Providers
20
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 Cambridge, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cambridge Public Health Commission
1493 Cambridge St |
$71.97 | 62,892 | 61,969 |
|
Howard Ying
5 Jfk St Ste 302 |
$33.05 | 16,520 | 13,691 |
|
Amy Lee Cuomo
19 Dunster St |
$36.09 | 3,750 | 3,729 |
|
Shilpa Joshi Desai
300 Mount Auburn St |
$19.25 | 3,679 | 3,474 |
|
Lauren Dickerman
19 Dunster St |
$31.23 | 2,990 | 2,976 |
|
Christopher C Robinson
300 Mount Auburn St |
$15.17 | 2,894 | 2,716 |
|
Addison Kaplan
603 Concord Ave Ste B |
$30.37 | 1,621 | 1,562 |
|
Cambridge Public Health Commission
1493 Cambridge St |
$97.43 | 1,002 | 997 |
|
Frank G Berson
77 Massachusetts Ave |
$34.06 | 513 | 509 |
|
Charles A. Barsam
725 Concord Ave |
$29.02 | 318 | 316 |
|
Karen Loring Frizzell Lewis
3 Central Square |
$26.13 | 228 | 227 |
|
Jonathan Raymond Pena
495 Massachusetts Ave |
$38.48 | 227 | 225 |
|
Florence Jackie Lee
495 Massachusetts Ave |
$27.60 | 204 | 188 |
|
Nguyet Thai Lesoltis
12 Eliot St |
$29.37 | 93 | 93 |
|
Kelly Abbott
12 Eliot St. |
$21.16 | 91 | 91 |
|
David M Luria
12 Eliot St |
$21.63 | 77 | 77 |
|
Tiffany Lu
12 Eliot St |
$45.54 | 27 | 27 |
|
Jane Lam
19 Dunster St |
$12.34 | 24 | 24 |
|
Margot Sue Seligman
1 Porter Sq |
$12.76 | 12 | 12 |
|
Rachel A F Wozniak
1493 Cambridge St |
$81.12 | 12 | 12 |
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 Cambridge, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Cambridge, MA is $57.82 per claim, based on 97,174 claims from 20 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 Cambridge, MA?
There are 20 Medicaid providers offering Eye Exam related services in Cambridge, MA according to public payment data.
What is the price range for Eye Exam in Cambridge, MA?
Medicaid reimbursement for Eye Exam in Cambridge, MA ranges from $12.34 to $97.43 per claim, with an average of $57.82. 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 Cambridge, MA
Office Visit
Avg $95.08
1,113,324 claims
Blood Work & Lab Tests
Avg $11.10
628,577 claims
Emergency Room Visit
Avg $130.28
400,697 claims
Vaccines & Immunizations
Avg $11.84
293,236 claims
Psychiatric Evaluation
Avg $54.53
227,557 claims
X-Ray
Avg $9.79
212,454 claims
EKG / ECG (Electrocardiogram)
Avg $5.66
168,153 claims
Dental Cleaning & Exam
Avg $38.07
166,876 claims