Average Medicaid Eye Exam Payments in Hershey, PA: $34.52
Avg. Paid
$34.52
Range
$1.01 – $76.61
Total Claims
39,468
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 Hershey, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donald J Williams
500 University Dr |
$1.01 | 16 | 15 |
|
Michael J Wilkinson
500 University Drive Hu19 |
$76.61 | 17 | 15 |
|
Matthew A Goldman
500 University Dr |
$34.71 | 26 | 26 |
|
Kimberly A Neely
500 University Dr |
$56.22 | 27 | 27 |
|
David A Quillen
500 University Dr |
$64.06 | 36 | 36 |
|
Jeffrey M Sundstrom
500 University Dr |
$26.73 | 70 | 67 |
|
Christine Callahan
500 University Dr |
$47.82 | 104 | 98 |
|
The Milton S Hershey Medical Center
500 University Dr |
$43.95 | 112 | 111 |
|
William A Cantore
500 University Dr |
$20.28 | 270 | 263 |
|
George C Papachristou
500 University Drive, Hu19 |
$59.89 | 281 | 268 |
|
Tara Leigh O'Rourke
500 University Dr |
$7.74 | 281 | 275 |
|
Kristin Nikolle Goodling
500 University Dr |
$15.92 | 548 | 541 |
|
Ingrid U Scott
500 University Dr |
$25.43 | 1,079 | 1,038 |
|
Esther Michelle Bowie
500 University Dr |
$32.85 | 2,120 | 2,051 |
|
Joseph W Sassani
500 University Dr |
$43.82 | 2,449 | 2,402 |
|
Jui Pandya
500 University Dr |
$29.17 | 3,919 | 3,763 |
|
Ajay Soni
500 University Drive, Hu19 |
$39.93 | 6,103 | 6,011 |
|
Marianne E Boltz
500 University Dr |
$27.41 | 6,904 | 6,844 |
|
Amanda Lee Ely
500 University Dr |
$44.88 | 7,054 | 6,899 |
|
Collin Douglas Hair
500 University Dr |
$30.20 | 8,052 | 7,925 |
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 Hershey, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Hershey, PA is $34.52 per claim, based on 39,468 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 Hershey, PA?
There are 20 Medicaid providers offering Eye Exam related services in Hershey, PA according to public payment data.
What is the price range for Eye Exam in Hershey, PA?
Medicaid reimbursement for Eye Exam in Hershey, PA ranges from $1.01 to $76.61 per claim, with an average of $34.52. 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 Hershey, PA
Emergency Room Visit
Avg $130.02
405,079 claims
Office Visit
Avg $62.32
300,551 claims
X-Ray
Avg $10.45
223,386 claims
Blood Work & Lab Tests
Avg $6.23
186,537 claims
EKG / ECG (Electrocardiogram)
Avg $10.99
89,735 claims
Ultrasound
Avg $54.53
55,479 claims
Urinalysis & Urine Tests
Avg $4.29
35,907 claims
CT Scan (Computed Tomography)
Avg $53.17
35,058 claims