Average Medicaid Eye Exam Payments in Saint Cloud, MN: $47.33
Avg. Paid
$47.33
Range
$12.46 – $72.36
Total Claims
20,018
Providers
16
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 Saint Cloud, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
April Ann Austing
2824 W Division St |
$46.29 | 3,715 | 3,521 |
|
Bryan David Lorenz
4161 2Nd St S |
$50.49 | 3,332 | 3,255 |
|
Thomas Nelson Johnson
2824 W Division St |
$48.87 | 3,140 | 3,070 |
|
Jeffrey Pearson
4201 W Division St Ste 61 |
$51.37 | 2,488 | 2,442 |
|
Damon Eggers
4201 W Division St |
$72.36 | 1,924 | 1,818 |
|
Derek John Bonacci
2055 15Th St N |
$35.75 | 1,832 | 1,801 |
|
Matthew Anderson
1545 Northway Dr Ste 120 |
$46.04 | 1,755 | 1,710 |
|
Mitchell Dean Harstad
2055 15Th St N |
$27.50 | 885 | 863 |
|
Mitchell Vincent Gossman
628 Roosevelt Rd Ste 101 |
$13.17 | 378 | 355 |
|
Melissa Anna Shaffer
4118 W Division St |
$26.41 | 202 | 202 |
|
Gordon Eugene Dramen
380 33Rd Ave S |
$12.63 | 191 | 180 |
|
Melanie Jo Lirong Thares
628 Roosevelt Rd Ste 101 |
$12.50 | 75 | 74 |
|
John Andrew Dvorak
109 Doctors Park |
$40.06 | 38 | 38 |
|
Joel W Nelson
2055 15Th St N |
$15.68 | 36 | 27 |
|
Sally Beth Jackula
3112 Southway Dr |
$12.46 | 14 | 13 |
|
Bradley Myren Anderson
2055 15Th St N |
$21.84 | 13 | 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 Saint Cloud, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Saint Cloud, MN is $47.33 per claim, based on 20,018 claims from 16 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 Saint Cloud, MN?
There are 16 Medicaid providers offering Eye Exam related services in Saint Cloud, MN according to public payment data.
What is the price range for Eye Exam in Saint Cloud, MN?
Medicaid reimbursement for Eye Exam in Saint Cloud, MN ranges from $12.46 to $72.36 per claim, with an average of $47.33. 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
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Chicago, IL
Avg $26.50
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Avg $18.49
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Las Vegas, NV
Avg $34.73
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Avg $55.73
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