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
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 Lancaster, PA
Office Visit
Avg $39.75
607,480 claims
Dental Cleaning & Exam
Avg $31.67
164,673 claims
Emergency Room Visit
Avg $85.60
150,561 claims
Case Management Services
Avg $65.68
149,372 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
141,532 claims
Physical Therapy
Avg $55.22
134,531 claims
Speech Therapy
Avg $30.39
125,554 claims
Blood Work & Lab Tests
Avg $7.12
116,126 claims