Average Medicaid Eye Exam Payments in Hagerstown, MD: $23.33
Avg. Paid
$23.33
Range
$0.00 – $58.02
Total Claims
99,900
Providers
26
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 Hagerstown, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Philip Berry
17301 Valley Mall Rd |
$14.73 | 24,370 | 21,840 |
|
Fabrice Djoko Dzuguia
17301 Valley Mall Rd |
$17.63 | 11,481 | 10,369 |
|
Wai Yin Teresa Chang
1725 Dual Hwy # B |
$16.60 | 10,951 | 9,849 |
|
David James Warrow
1800 Dual Hwy |
$25.55 | 9,155 | 8,171 |
|
Cumberland Valley Retina Consultants Pc
1800 Dual Hwy Ste 201 |
$55.24 | 9,040 | 7,870 |
|
Allen Y Hu
1800 Dual Hwy Ste 201 |
$23.17 | 6,867 | 5,791 |
|
Sonia Kidwai
17301 Valley Mall Rd |
$17.21 | 3,900 | 3,472 |
|
Vision 2020
12818 Shank Farm Way Ste G |
$44.02 | 3,444 | 3,296 |
|
Robert E. Parnes, M.D., Llc
246 Eastern Blvd N Ste 102 |
$11.19 | 3,376 | 2,698 |
|
Stanley Clyde Bowser
1725B Dual Hwy |
$2.40 | 3,147 | 1,203 |
|
Dhruvi N Patel
17213 Cole Rd |
$31.43 | 2,322 | 2,270 |
|
Jay Berdia
1800 Dual Highway |
$27.45 | 2,118 | 1,934 |
|
Chelsea Dayton
220 Champion Dr |
$16.60 | 1,906 | 1,578 |
|
Adam Theodore Gerstenblith
246 Eastern Blvd N |
$36.83 | 1,873 | 1,669 |
|
Nagaraju Kemidi
1725 Dual Hwy |
$45.80 | 1,591 | 1,390 |
|
Umar Mahmood
12916 Conamar Dr Ste 104 |
$17.96 | 1,249 | 1,128 |
|
Maryland Vision Institute, Llc
220 Champion Dr |
$53.20 | 1,000 | 933 |
|
Dawn A Agostini
1545 Potomac Ave |
$30.17 | 779 | 606 |
|
Nardos Minasse
17850 Garland Groh Blvd |
$0.00 | 295 | 166 |
|
Robert E Parnes
246 Eastern Blvd N |
$22.52 | 267 | 242 |
|
Myeyedr Optometry Of Maryland, Llc
17301 Valley Mall Rd |
$5.45 | 258 | 225 |
|
Retina Center Of Western Maryland
251 E Baltimore St |
$58.02 | 224 | 214 |
|
John J Wroblewski
1800 Dual Hwy Ste 201 |
$18.32 | 125 | 105 |
|
Adam Scott Wenick
246 Eastern Blvd N Ste 102 |
$32.37 | 123 | 116 |
|
Erwin Calvo Puente
1800 Dual Highway |
$15.92 | 27 | 25 |
|
Dara Tash
251 E Baltimore St |
$30.91 | 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 Hagerstown, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Hagerstown, MD is $23.33 per claim, based on 99,900 claims from 26 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 Hagerstown, MD?
There are 26 Medicaid providers offering Eye Exam related services in Hagerstown, MD according to public payment data.
What is the price range for Eye Exam in Hagerstown, MD?
Medicaid reimbursement for Eye Exam in Hagerstown, MD ranges from $0.00 to $58.02 per claim, with an average of $23.33. 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
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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
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