Doctor visits and therapy CPT 92004 192 markets

Eye exam, new patient cost without insurance

The median hospital cash price for comprehensive eye exam by an eye doctor, new patient is $188.51 across 391 US hospitals; most list between $76.02 and $423.00. The lowest outpatient cash price in any of 192 markets is $18.45. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file All Eye exam costs

Lowest$18.45any market
Median market$175.00middle of market medians
Most below$423.009 in 10 hospitals
Listings390hospital prices

Compared with Medicare

$136.02 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $188.51 across 391 hospitals, is 1.4× that.

Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for eye exam, new patient, the highest negotiated rate in a hospital's file has a median of $327.47 and the lowest a median of $70.30. At 222 of 254 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 92004?

This is a full medical eye exam for a new patient by an ophthalmologist or optometrist. It usually checks vision, eye pressure, eye movement and the inside of the eye, often with dilating drops, and may take more than one visit.

What the price covers

The price covers the exam itself. Refraction, the test that sets a glasses prescription, is billed separately (92015), as are contact lens fitting, eye imaging and glasses.

Why prices differ

Prices differ between hospital eye clinics, academic eye centers and private offices, and hospital-based clinics may add facility fees.

What to ask

Ask whether the self-pay price for CPT 92004 includes refraction for a glasses prescription and any eye imaging.

Prices by state

Among 22 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($73.28), Tennessee ($100.28) and Arkansas ($108.60), and highest in Kentucky ($481.97), Florida ($481.65) and South Dakota ($321.60).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Akron, OH 4 $125.25 $285.73 $606.00 4.8×
Alexandria, LA 1 $149.90 $149.90 $149.90 1.0×
Amory, MS single city 1 $156.52 $156.52 $156.52 1.0×
Anchorage, AK 1 $245.00 $245.00 $245.00 1.0×
Ann Arbor, MI 1 $53.20 $53.20 $53.20 1.0×
Antigo, WI single city 1 $201.50 $201.50 $201.50 1.0×
Ashland, WI single city 1 $23.75 $23.75 $23.75 1.0×
Athens-Clarke County, GA 1 $268.50 $268.50 $268.50 1.0×
Atlanta-Sandy Springs-Roswell, GA 19 $146.64 $268.50 $268.50 1.8×
Atlantic City-Hammonton, NJ 1 $172.26 $172.26 $172.26 1.0×
Augusta-Richmond County, GA-SC 3 $146.64 $207.01 $207.01 1.4×
Austin-Round Rock-San Marcos, TX 7 $241.00 $241.00 $250.64 1.0×
Baker City, OR 1 $118.30 $118.30 $118.30 1.0×
Bangor, ME 1 $148.47 $148.47 $148.47 1.0×
Baton Rouge, LA 1 $167.40 $167.40 $167.40 1.0×
Beaver Dam, WI 1 $115.90 $115.90 $115.90 1.0×
Big Stone Gap, VA single city 1 $58.35 $58.35 $58.35 1.0×
Birmingham, AL 1 $66.00 $66.00 $66.00 1.0×
Bloomington, IL 1 $423.00 $423.00 $423.00 1.0×
Boise City, ID 2 $121.00 $121.00 $121.00 1.0×
Boston-Cambridge-Newton, MA-NH 6 $32.90 $150.53 $257.00 7.8×
Bozeman, MT 2 $221.60 $221.60 $221.60 1.0×
Brenham, TX 1 $250.64 $250.64 $250.64 1.0×
Brookings, SD 1 $75.50 $75.50 $75.50 1.0×
Buffalo-Cheektowaga, NY 3 $137.47 $453.01 $522.00 3.8×
Burlington-South Burlington, VT 1 $194.73 $194.73 $194.73 1.0×
Cades, SC single city 1 $71.00 $71.00 $71.00 1.0×
Canton-Massillon, OH 1 $385.45 $385.45 $385.45 1.0×
Champaign-Urbana, IL 1 $620.00 $620.00 $620.00 1.0×
Charleston-North Charleston, SC 1 $99.00 $99.00 $99.00 1.0×
Chicago-Naperville-Elgin, IL-IN 14 $46.74 $132.00 $306.00 6.5×
Cincinnati, OH-KY-IN 2 $238.80 $238.80 $238.80 1.0×
Clarksburg, WV 1 $78.00 $78.00 $78.00 1.0×
Cleveland, OH 19 $93.10 $385.45 $385.45 4.1×
Clinton, MO single city 1 $102.32 $102.32 $102.32 1.0×
College Station-Bryan, TX 1 $241.00 $241.00 $241.00 1.0×
Columbia, MO 1 $126.60 $126.60 $126.60 1.0×
Columbus, GA-AL 2 $207.01 $207.01 $207.01 1.0×
Columbus, OH 1 $374.61 $374.61 $374.61 1.0×
Corbin, KY 1 $481.97 $481.97 $481.97 1.0×
Corning, NY 1 $231.67 $231.67 $231.67 1.0×
Corpus Christi, TX 1 $141.68 $141.68 $141.68 1.0×
Cortland, NY 1 $231.67 $231.67 $231.67 1.0×
Dallas-Fort Worth-Arlington, TX 1 $308.40 $308.40 $308.40 1.0×
Dayton-Kettering-Beavercreek, OH 1 $274.40 $274.40 $274.40 1.0×
DeKalb, MS single city 1 $153.18 $153.18 $153.18 1.0×
Denver-Aurora-Centennial, CO 2 $82.20 $130.15 $178.10 2.2×
Des Moines-West Des Moines, IA 1 $109.00 $109.00 $109.00 1.0×
Detroit-Warren-Dearborn, MI 2 $183.07 $183.07 $183.07 1.0×
Devils Lake, ND single city 1 $109.80 $109.80 $109.80 1.0×
Duluth, MN-WI 1 $168.64 $168.64 $168.64 1.0×
Duncan, OK 1 $262.74 $262.74 $262.74 1.0×
Eagle River, WI single city 1 $201.50 $201.50 $201.50 1.0×
East Amery, WI single city 1 $106.37 $106.37 $106.37 1.0×
Eau Claire, WI 2 $115.90 $158.70 $201.50 1.7×
Elizabethtown, KY 1 $481.97 $481.97 $481.97 1.0×
Erie, PA 1 $130.43 $130.43 $130.43 1.0×
Fairmont, WV 1 $487.77 $487.77 $487.77 1.0×
Fayetteville-Springdale-Rogers, AR 1 $18.45 $18.45 $18.45 1.0×
Fergus Falls, MN 1 $130.00 $130.00 $130.00 1.0×
Freeport, IL 1 $180.80 $180.80 $180.80 1.0×
Fresno, CA 1 $245.28 $245.28 $245.28 1.0×
Goldendale, WA single city 1 $304.00 $304.00 $304.00 1.0×
Grand Forks, ND-MN 1 $109.80 $109.80 $109.80 1.0×
Grand Rapids-Wyoming-Kentwood, MI 1 $107.50 $107.50 $107.50 1.0×
Greeneville, TN 1 $58.35 $58.35 $58.35 1.0×
Hailey, ID 1 $121.00 $121.00 $121.00 1.0×
Hamilton, AL single city 1 $156.52 $156.52 $156.52 1.0×
Hammond, LA 2 $98.31 $178.17 $258.03 2.6×
Harrisburg-Carlisle, PA 1 $38.10 $38.10 $38.10 1.0×
Hartford, CT single city 1 $158.00 $158.00 $158.00 1.0×
Houghton, MI 1 $201.50 $201.50 $201.50 1.0×
Huntington-Ashland, WV-KY-OH 1 $136.91 $136.91 $136.91 1.0×
Iowa City, IA 2 $233.10 $233.10 $233.10 1.0×
Iron River, MI single city 1 $201.50 $201.50 $201.50 1.0×
Ironwood, MI single city 1 $201.50 $201.50 $201.50 1.0×
Iuka, MS single city 1 $156.52 $156.52 $156.52 1.0×
Jackson, MS 2 $116.00 $116.00 $116.00 1.0×
Janesville-Beloit, WI 1 $102.02 $102.02 $102.02 1.0×
Joplin, MO-KS 1 $129.35 $129.35 $129.35 1.0×
Kansas City, MO-KS 2 $61.22 $61.22 $61.22 1.0×
Killeen-Temple, TX 3 $241.00 $250.64 $250.64 1.0×
Kingsport-Bristol, TN-VA 3 $58.35 $58.35 $58.35 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 2 $166.19 $350.60 $535.00 3.2×
Ladysmith, WI single city 1 $115.90 $115.90 $115.90 1.0×
LaGrange, GA-AL 1 $146.64 $146.64 $146.64 1.0×
Lansing-East Lansing, MI 2 $107.50 $107.50 $107.50 1.0×
Lebanon-Claremont, NH-VT 1 $176.00 $176.00 $176.00 1.0×
Lexington-Fayette, KY 1 $481.97 $481.97 $481.97 1.0×
Lima, OH 1 $149.40 $149.40 $149.40 1.0×
Little Rock-North Little Rock-Conway, AR 3 $18.45 $108.60 $108.60 5.9×
Los Angeles-Long Beach-Anaheim, CA 10 $292.24 $292.24 $694.25 2.4×
Louisville/Jefferson County, KY-IN 3 $481.97 $481.97 $481.97 1.0×
Lubbock, TX 1 $536.00 $536.00 $536.00 1.0×
Macon-Bibb County, GA 2 $268.50 $268.50 $268.50 1.0×
Madison, MN single city 1 $130.05 $130.05 $130.05 1.0×
Madison, WI 1 $201.50 $201.50 $201.50 1.0×
Mangum, OK single city 1 $287.85 $287.85 $287.85 1.0×
Marble Falls, TX single city 1 $241.00 $241.00 $241.00 1.0×
Marietta, OH 2 $67.25 $117.15 $167.04 2.5×
Massena-Ogdensburg, NY 1 $188.51 $188.51 $188.51 1.0×
McAllen-Edinburg-Mission, TX 1 $163.02 $163.02 $163.02 1.0×
McCall, ID single city 1 $121.00 $121.00 $121.00 1.0×
Medford, WI single city 1 $201.50 $201.50 $201.50 1.0×
Meridian, MS 2 $77.70 $113.22 $148.74 1.9×
Merrill, WI single city 1 $201.50 $201.50 $201.50 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 2 $191.80 $336.73 $481.65 2.5×
Milwaukee-Waukesha, WI 2 $89.24 $127.12 $165.00 1.8×
Minneapolis-St. Paul-Bloomington, MN-WI 1 $120.80 $120.80 $120.80 1.0×
Minocqua, WI single city 1 $115.90 $115.90 $115.90 1.0×
Minot, ND 2 $132.80 $132.80 $132.80 1.0×
Modesto, CA 1 $245.28 $245.28 $245.28 1.0×
Morgantown, WV 2 $170.00 $328.89 $487.77 2.9×
Morris, MN single city 1 $77.25 $77.25 $77.25 1.0×
Mount Vernon-Anacortes, WA 1 $114.40 $114.40 $114.40 1.0×
Mountain Home, AR 1 $496.25 $496.25 $496.25 1.0×
Nacogdoches, TX 1 $85.00 $85.00 $85.00 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 3 $142.20 $166.47 $201.26 1.4×
Neillsville, WI single city 1 $115.90 $115.90 $115.90 1.0×
New Orleans-Metairie, LA 9 $33.44 $60.90 $116.91 3.5×
New Philadelphia-Dover, OH 1 $385.45 $385.45 $385.45 1.0×
New York-Newark-Jersey City, NY-NJ 40 $30.30 $152.50 $18,963.00 625.8×
Omaha, NE-IA 2 $78.00 $78.00 $78.00 1.0×
Orangeburg, SC 1 $99.00 $99.00 $99.00 1.0×
Owosso, MI 1 $112.00 $112.00 $112.00 1.0×
Paducah, KY-IL 1 $481.97 $481.97 $481.97 1.0×
Park Falls, WI single city 1 $115.90 $115.90 $115.90 1.0×
Parkersburg-Vienna, WV 1 $78.00 $78.00 $78.00 1.0×
Peoria, IL 1 $423.00 $423.00 $423.00 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 4 $152.80 $152.80 $152.80 1.0×
Phoenix-Mesa-Chandler, AZ 2 $163.38 $255.32 $347.25 2.1×
Plainview, TX 1 $103.32 $103.32 $103.32 1.0×
Platteville, WI 1 $141.00 $141.00 $141.00 1.0×
Pontotoc, MS single city 1 $156.52 $156.52 $156.52 1.0×
Port St. Lucie, FL 1 $481.65 $481.65 $481.65 1.0×
Portland-Vancouver-Hillsboro, OR-WA 1 $200.20 $200.20 $200.20 1.0×
Presque Isle, ME single city 1 $76.02 $76.02 $76.02 1.0×
Rapid City, SD 3 $321.60 $321.60 $321.60 1.0×
Reno, NV 1 $432.00 $432.00 $432.00 1.0×
Rhinelander, WI single city 1 $201.50 $201.50 $201.50 1.0×
Rice Lake, WI 1 $115.90 $115.90 $115.90 1.0×
Richmond-Berea, KY 1 $481.97 $481.97 $481.97 1.0×
Riverside-San Bernardino-Ontario, CA 5 $292.24 $292.24 $344.53 1.2×
Rochester, NY 3 $391.06 $391.06 $571.20 1.5×
Rockford, IL 1 $107.12 $107.12 $107.12 1.0×
Ruleville, MS single city 1 $77.00 $77.00 $77.00 1.0×
Sacramento-Roseville-Folsom, CA 3 $245.28 $245.28 $245.28 1.0×
Salinas, CA 1 $368.25 $368.25 $368.25 1.0×
San Antonio-New Braunfels, TX 1 $50.19 $50.19 $50.19 1.0×
San Diego-Chula Vista-Carlsbad, CA 5 $126.00 $292.24 $292.24 2.3×
San Francisco-Oakland-Fremont, CA 12 $245.28 $245.28 $339.00 1.4×
San Jose-Sunnyvale-Santa Clara, CA 3 $245.28 $245.28 $292.00 1.2×
Santa Rosa-Petaluma, CA 1 $245.28 $245.28 $245.28 1.0×
Sayre, PA 3 $231.67 $231.67 $231.67 1.0×
Seattle-Tacoma-Bellevue, WA 3 $72.42 $169.40 $243.50 3.4×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $481.65 $481.65 $481.65 1.0×
Shelbyville, TN 1 $201.26 $201.26 $201.26 1.0×
Shelton, WA 1 $291.45 $291.45 $291.45 1.0×
Sidney, MT single city 1 $183.29 $183.29 $183.29 1.0×
Sistersville, WV single city 1 $200.23 $200.23 $200.23 1.0×
Slidell-Mandeville-Covington, LA 1 $44.66 $44.66 $44.66 1.0×
Sneedville, TN single city 1 $57.04 $57.04 $57.04 1.0×
Spearfish, SD 2 $321.60 $321.60 $321.60 1.0×
Springfield, MA 1 $276.00 $276.00 $276.00 1.0×
Springfield, MO 3 $129.35 $129.35 $162.40 1.3×
Starkville, MS 1 $156.52 $156.52 $156.52 1.0×
Stevens Point-Plover, WI 3 $115.90 $201.50 $201.50 1.7×
Stigler, OK single city 1 $365.00 $365.00 $365.00 1.0×
Stockton-Lodi, CA 1 $245.28 $245.28 $245.28 1.0×
Syracuse, NY 1 $174.00 $174.00 $174.00 1.0×
Tampa-St. Petersburg-Clearwater, FL 1 $60.20 $60.20 $60.20 1.0×
Temple, TX single city 1 $250.64 $250.64 $250.64 1.0×
Tomahawk, WI single city 1 $201.50 $201.50 $201.50 1.0×
Truckee-Grass Valley, CA 1 $432.00 $432.00 $432.00 1.0×
Tullahoma-Manchester, TN 1 $201.26 $201.26 $201.26 1.0×
Tupelo, MS 1 $156.52 $156.52 $156.52 1.0×
Twin Falls, ID 1 $121.00 $121.00 $121.00 1.0×
Two Harbors, MN single city 1 $255.13 $255.13 $255.13 1.0×
Valdez, AK single city 1 $383.76 $383.76 $383.76 1.0×
Vallejo, CA 2 $245.28 $245.28 $245.28 1.0×
Waco, TX 1 $241.00 $241.00 $241.00 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $175.50 $280.25 $385.00 2.2×
Wausau, WI 2 $115.90 $158.70 $201.50 1.7×
Wenatchee-East Wenatchee, WA 1 $144.90 $144.90 $144.90 1.0×
West Point, MS single city 1 $156.52 $156.52 $156.52 1.0×
Willows, CA single city 1 $156.24 $156.24 $156.24 1.0×
Winamac, IN single city 1 $294.35 $294.35 $294.35 1.0×
Winfield, AL single city 1 $156.52 $156.52 $156.52 1.0×
Wisconsin Rapids-Marshfield, WI 2 $115.90 $158.70 $201.50 1.7×
Woodruff, WI single city 1 $201.50 $201.50 $201.50 1.0×
Worcester, MA 1 $505.00 $505.00 $505.00 1.0×
Yuma, AZ 1 $155.35 $155.35 $155.35 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 92004?

CPT 92004 is the billing code for comprehensive eye exam by an eye doctor, new patient. This is a full medical eye exam for a new patient by an ophthalmologist or optometrist. It usually checks vision, eye pressure, eye movement and the inside of the eye, often with dilating drops, and may take more than one visit.

Will I get a glasses prescription from this exam?

Only if refraction is done, and that is usually a separate charge (92015) that some offices add automatically.

How long does the exam take?

Often about an hour, longer if the eyes are dilated, and blurry vision after dilation can last a few hours.

How much does Medicare pay for CPT 92004 (Eye exam, new patient)?

$136.02 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $188.51 across 391 hospitals, is 1.4× that.

Is it cheaper to pay cash or use insurance for eye exam, new patient?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for eye exam, new patient has a median of $327.47 and the lowest a median of $70.30; at 222 of 254 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest eye exam, new patient?

Among 22 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($73.28), Tennessee ($100.28) and Arkansas ($108.60), and highest in Kentucky ($481.97), Florida ($481.65) and South Dakota ($321.60). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other eye exam prices

Median hospital cash price, one per hospital.