Evoked potential visual not glaucoma cost at US hospitals

HC EVOKED POTENTIAL VISUAL NOT GLAUCOMA · CPT 95930

$102.06

lowest cash price

$814.61

national median

$6,738.80

highest cash price

470

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $102.06–$6,738.80 — the variation is the story.

Cheapest published cash price

$102.06

64-0881013 MBMC Jackson — Jackson, MS

Most expensive published cash price

$6,738.80

HCA FLORIDA BRANDON HOSPITAL — TAMPA, FL

Median cash price over time

Sep 1, 2025 ($362.98) → Sep 1, 2026 ($1,216.00)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 $1,163.76 $1,163.76 $1,163.76
Arizona 12 $198.91 $310.02 $2,044.96
Arkansas 3 $227.51 $278.25 $844.00
California 55 $124.39 $845.60 $1,177.41
Colorado 15 $474.77 $4,634.30 $5,178.43
Florida 78 $272.41 $1,216.00 $6,738.80
Georgia 22 $1,438.00 $1,584.57 $1,584.57
Hawaii 2 $213.12 $213.12 $830.25
Illinois 36 $207.24 $1,025.76 $1,915.20
Indiana 23 $1,128.00 $1,640.40 $2,208.62
Iowa 15 $181.02 $345.60 $1,062.48
Kansas 10 not published by hospital not published by hospital not published by hospital
Kentucky 10 $287.40 $2,208.62 $2,208.62
Louisiana 5 not published by hospital not published by hospital not published by hospital
Maine 7 not published by hospital not published by hospital not published by hospital
Maryland 2 $153.60 $153.60 $153.60
Michigan 24 $274.40 $468.12 $1,229.60
Minnesota 13 $222.00 $222.00 $964.80
Mississippi 1 $102.06 $102.06 $102.06
Missouri 17 $759.85 $1,085.15 $6,200.33
Montana 2 $520.80 $520.80 $520.80
Nebraska 7 $181.02 $181.02 $929.84
Nevada 2 $286.59 $286.59 $399.83
New Hampshire 1 $1,468.25 $1,468.25 $1,468.25
New Jersey 21 $194.71 $344.68 $366.72
New Mexico 2 not published by hospital not published by hospital not published by hospital
New York 19 $368.50 $368.50 $1,513.00
North Carolina 14 $233.50 $1,028.03 $1,028.03
North Dakota 2 $607.20 $607.20 $804.00
Ohio 45 $247.47 $765.60 $1,685.25
Oklahoma 10 $452.97 $452.97 $1,188.20
Oregon 6 not published by hospital not published by hospital not published by hospital
Pennsylvania 12 $457.20 $572.40 $1,312.80
South Carolina 9 $215.00 $554.50 $843.00
South Dakota 2 $1,285.60 $1,285.60 $1,285.60
Tennessee 32 $107.70 $107.70 $389.55
Texas 95 $317.79 $997.29 $5,624.56
Virginia 23 $107.70 $377.00 $988.50
Washington 30 $312.73 $467.52 $1,479.80
West Virginia 5 $407.50 $460.00 $686.00
Wisconsin 23 $231.61 $730.00 $1,431.54

All hospitals

Hospital Location Cash price Negotiated range
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh, WI $518.70 $19.59 – $628.68
MercyOne Des Moines Medical Center Des Moines, IA $520.00 $160.80 – $800.00
St Patrick Hospital - Broadway Campus Missoula, MT $520.80 $94.87 – $913.84
Providence St Peter Hospital Olympia, WA $521.56 $211.08 – $810.80
Banner Fort Collins Medical Center Fort Collins, CO $524.04 $303.56 – $1,117.20
St. Joseph’s Hospital and Medical Center Phoenix, AZ $532.13 $70.81 – $1,100.47
Ascension Seton Smithville (Ascension Seton) Smithville, TX $539.91 $52.83 – $528.12
Mansfield Hospital Mansfield, OH $540.80 $206.17 – $214.42
Shelby Hospital Shelby, OH $540.80 not published
MUSC Health Black River Medical Center Cades, SC $554.50 $200.83 – $348.03
Berger Hospital Circleville, OH $559.00 $118.61 – $118.61
Southeastern Medical Center Cambridge, OH $559.00 $204.28 – $212.45
Reynolds Memorial Hospital Glen Dale, WV $568.00 $13.39 – $360.71
UPMC Community Osteopathic Harrisburg, PA $572.40 $79.31 – $810.90
UPMC Hanover Hanover, PA $572.40 $79.31 – $475.97
UPMC Lititz Lititz, PA $572.40 $79.31 – $478.54
UPMC Memorial York, PA $572.40 $67.33 – $477.76
UPMC Somerset Somerset, PA $572.40 $69.62 – $296.88
UPMC Carlisle Carlisle, PA $572.40 $79.31 – $810.90
Hardin Memorial Hospital Kenton, OH $573.30 not published
Riverside Methodist Hospital Columbus, OH $578.50 $208.20 – $208.20
Dublin Methodist Hospital Dublin, OH $578.50 $208.20 – $208.20
Grant Medical Center Columbus, OH $578.50 $208.20 – $208.20
Doctors Hospital Columbus, OH $578.50 $212.75 – $212.75
Northridge Hospital Medical Center Northridge, CA $602.92 $39.52 – $3,827.00
Boca Raton Regional Hospital BOCA RATON, FL $605.80 $221.43 – $932.00
Sanford Medical Center Bismarck Bismarck, ND $607.20 $67.24 – $683.10
Ascension Providence Waco, TX $629.82 $83.75 – $457.80
St. Luke's Health - The Vintage Hospital Houston, TX $654.50 $73.66 – $1,870.00
Baylor St Luke's Medical Center Houston, TX $654.50 $59.53 – $1,870.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $654.50 $73.66 – $1,870.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $654.50 $73.66 – $1,870.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $654.50 $73.66 – $1,870.00
O'Bleness Hospital Athens, OH $661.05 $206.17 – $208.23
Bakersfield Memorial Hospital Bakersfield, CA $670.88 $39.52 – $1,444.12
Northwestern Memorial Hospital Chicago, IL $672.00 not published
Mercy Hospitals – Bakersfield Bakersfield, CA $678.19 $39.52 – $1,462.40
MUSC Health Main Campus - Charleston Charleston, SC $684.50 $200.83 – $285.24
MUSC Health Orangeburg Medical Center Orangeburg, SC $684.50 $200.83 – $220.91
West Virginia University Hospitals Morgantown, WV $686.00 $13.39 – $550.78
UnityPoint Health - Allen Hospital Waterloo, IA $688.12 $16.78 – $453.30
UnityPoint Health - Marshalltown Marshalltown, IA $688.12 $16.78 – $412.87
UPMC Northwest Seneca, PA $699.00 $81.69 – $311.72
MultiCare Auburn Medical Center Auburn, WA $715.20 $94.65 – $1,296.68
MultiCare Capital Medical Center Olympia, WA $715.20 $101.86 – $1,117.14
MultiCare Covington Medical Center Covington, WA $715.20 $94.65 – $1,296.68
MultiCare Good Samaritan Hospital Puyallup, WA $715.20 $96.84 – $1,296.68
MultiCare Mary Bridge Children's Hospital Tacoma, WA $715.20 $96.39 – $2,202.67
MultiCare Allenmore Hospital Tacoma, WA $715.20 $96.87 – $1,296.68
Aurora Baycare Medical Center Green Bay, WI $730.00 not published

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