Skip to content
Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Lancaster, PA: $32.18

Avg. Paid

$32.18

Range

$3.77 – $45.73

Total Claims

42,078

Providers

37

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 Lancaster, PA

Provider Avg. Paid Claims Patients
Justin L Cappiello

324 N Duke St

$3.77 12 12
Justin M Shaw

485 Royer Drive

$23.43 14 13
Diane M Corallo

485 Royer Dr Ste 103

$18.96 14 13
Shelley Xinran Mo

485 Royer Dr Ste 103

$31.81 24 24
Kathryn Andrews

2108 Harrisburg Pike Ste 100

$40.00 24 24
Yealy Eye, Llc

244 N Queen St

$5.42 31 26
Theodore D Jones

485 Royer Dr

$39.97 43 42
America'S Best Contacts & Eyeglasses

1631 Lititz Pike

$40.00 58 58
Abby Brubaker Crawford

180 Good Dr

$45.73 78 78
Donna Leonardo

2110 Harrisburg Pike

$5.51 114 110
Bethany Rommel

2115 Noll Dr

$22.48 115 105
Wal-Mart Stores East, Lp

2034 Lincoln Hwy E

$40.00 135 86
Rupak Kumar Bhuyan

2150 Harrisburg Pike

$7.86 213 195
Anh T Nguyen-Liang

2110 Harrisburg Pike

$38.44 225 209
Sandford Charles Frisch

2207 Oregon Pike

$37.49 269 268
Salman Porbandarwalla

2150 Harrisburg Pike Ste 370

$18.66 271 262
Visionworks, Inc.

2350 Lincoln Hwy E

$41.42 280 252
Hayley Lynn Woodall

2104 Spring Valley Rd

$23.04 319 316
Lee A Klombers

2108 Harrisburg Pike Ste 100

$34.73 323 310
Sarah Olivia Clisham

244 N Queen St Fl 2

$30.84 350 346
Rushil Brahmbhatt

854 Plaza Blvd

$40.22 424 424
Anthony T Liang

1731 Lititz Pike

$40.05 605 598
Empire Vision Center Inc

854 Plaza Blvd

$37.23 641 501
David Emrich

400 Park City Ctr

$39.49 697 682
Thomas Frank Krulewski

810 Plaza Blvd

$16.54 855 816
David I Silbert

2104 Spring Valley Rd

$24.78 974 959
Chad Michael Guaetta

874 Plaza Blvd

$41.74 1,285 1,284
Ryan William Yealy

244 N Queen St

$17.48 1,575 1,524
Stanley D. Skolnick

1834 Oregon Pike

$38.78 1,810 1,792
Dina Y. Gewaily

2150 Harrisburg Pike

$30.16 2,064 1,965
Larry Dennis Oxenberg

180 Good Dr

$45.29 2,123 2,075
Philip Henry Scharper

2150 Harrisburg Pike

$19.35 2,580 2,257
Spage M Yee

330 Centerville Road

$36.82 3,857 3,748
Allison Cramer Brun

422 N Queen St Fl 2

$24.97 4,191 4,138
Ashley Nicole Harbaugh

2034 Lincoln Hwy E

$40.65 4,614 4,561
Lisa Draper

1430 Harrisburg Pike

$28.27 5,316 5,241
Michael R Pavlica

2110 Harrisburg Pike

$34.85 5,555 5,435

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 Lancaster, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Lancaster, PA is $32.18 per claim, based on 42,078 claims from 37 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 Lancaster, PA?

There are 37 Medicaid providers offering Eye Exam related services in Lancaster, PA according to public payment data.

What is the price range for Eye Exam in Lancaster, PA?

Medicaid reimbursement for Eye Exam in Lancaster, PA ranges from $3.77 to $45.73 per claim, with an average of $32.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Eye Exam in Other Cities

Other Procedures in Lancaster, PA