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Comprehensive Eye Exam, Established Patient

CPT 9201433 Colorado hospitals reporting a negotiated rate

Comprehensive ophthalmologic exam for an established patient, including refraction. Recommended every 1-2 years for adults 50+ to screen for cataracts and glaucoma.

Typical insured price · Colorado

$74to$212

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medianshalf of reporting hospitals’ median rates fall in this window with a median of $151.

$74$212

Cash price (median)

$171

What you'd pay self-pay

Gross charge (median)

$414

The chargemaster sticker

vs Medicare

Coming with enrichment

Sourced from 33 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code
CPT 92014
Code system
CPT (Current Procedural Terminology)
Typical setting
an outpatient setting
Hospitals reporting
33

How they price Comprehensive Eye Exam, Established Patient

Across 33 Colorado hospitals that publish a commercial negotiated rate for CPT 92014, the typical insured price for Comprehensive Eye Exam, Established Patient runs $74 to $212 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $151 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $171, against a median gross charge of $414.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

  • Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
  • In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
  • Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
  • Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Commonspirit St Anthony North Hospital
Metro
Denver Metro
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
11
Commonspirit St Francis Hospital
Metro
Colorado Springs
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
10
Commonspirit St Mary Corwin Hospital Pueblo
Metro
Rest of Colorado
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
10
Commonspirit St Francis Hospital Interquest
Metro
Colorado Springs
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
9
Commonspirit Mercy Hospital Durango
Metro
Rest of Colorado
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
10
Commonspirit St Anthony Hospital Lakewood
Metro
Denver Metro
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
6
Commonspirit St Elizabeth Hospital Fort Morgan
Metro
Rest of Colorado
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
8
Commonspirit Orthocolorado Hospital
Metro
Denver Metro
Median negotiated
$72
Your carrier's rate
25th–75th
$72 – $72
Cash
Payers
9
Commonspirit Longmont United Hospital
Metro
Boulder
Median negotiated
$74
Your carrier's rate
25th–75th
$74 – $74
Cash
Payers
11
Uchealth Greeley Hospital
Metro
Rest of Colorado
Median negotiated
$129
Your carrier's rate
25th–75th
$129 – $304
Cash
Payers
8
Uchealth Yampa Valley Medical Center Steamboat Springs
Metro
Rest of Colorado
Median negotiated
$130
Your carrier's rate
25th–75th
$130 – $130
Cash
Payers
8
Uchealth Grandview Hospital Colorado Springs
Metro
Colorado Springs
Median negotiated
$130
Your carrier's rate
25th–75th
$130 – $339
Cash
Payers
8
Uchealth Medical Center of the Rockies Loveland
Metro
Fort Collins
Median negotiated
$130
Your carrier's rate
25th–75th
$130 – $349
Cash
Payers
8
Uchealth Highlands Ranch Hospital
Metro
Denver Metro
Median negotiated
$130
Your carrier's rate
25th–75th
$130 – $351
Cash
Payers
8
Uchealth Poudre Valley Hospital Fort Collins
Metro
Fort Collins
Median negotiated
$130
Your carrier's rate
25th–75th
$130 – $349
Cash
Payers
8
Denver Health Medical Center

Gross charge $281

Metro
Denver Metro
Median negotiated
$140
Your carrier's rate
25th–75th
$97 – $140
Cash
$98
Payers
4
Boulder Community Health Foothills Hospital
Metro
Boulder
Median negotiated
$151
Your carrier's rate
25th–75th
$126 – $197
Cash
Payers
16
Children S Hospital Colorado Colorado Springs

Gross charge $263

Metro
Colorado Springs
Median negotiated
$171
Your carrier's rate
25th–75th
$147 – $197
Cash
$171
Payers
33
Uchealth Longs Peak Hospital Longmont
Metro
Boulder
Median negotiated
$207
Your carrier's rate
25th–75th
$130 – $348
Cash
Payers
8
Uchealth Memorial Hospital North Colorado Springs
Metro
Colorado Springs
Median negotiated
$211
Your carrier's rate
25th–75th
$130 – $442
Cash
Payers
8
Uchealth Memorial Hospital Central Colorado Springs
Metro
Colorado Springs
Median negotiated
$211
Your carrier's rate
25th–75th
$130 – $442
Cash
Payers
8
Hca Healthone Swedish Medical Center
Metro
Denver Metro
Median negotiated
$212
Your carrier's rate
25th–75th
$212 – $212
Cash
Payers
1
Hca Healthone Presbyterian St Luke S Medical Center
Metro
Denver Metro
Median negotiated
$212
Your carrier's rate
25th–75th
$212 – $212
Cash
Payers
1
Hca Healthone Mountain Ridge Thornton
Metro
Denver Metro
Median negotiated
$212
Your carrier's rate
25th–75th
$212 – $212
Cash
Payers
1
Hca Healthone Rose Medical Center
Metro
Denver Metro
Median negotiated
$212
Your carrier's rate
25th–75th
$212 – $212
Cash
Payers
1
Hca Healthone Sky Ridge Medical Center
Metro
Denver Metro
Median negotiated
$212
Your carrier's rate
25th–75th
$212 – $212
Cash
Payers
1
Hca Healthone Aurora Medical Center of Aurora
Metro
Denver Metro
Median negotiated
$212
Your carrier's rate
25th–75th
$212 – $212
Cash
Payers
1
Uchealth Parkview Medical Center Pueblo
Metro
Rest of Colorado
Median negotiated
$214
Your carrier's rate
25th–75th
$130 – $539
Cash
Payers
7
Commonspirit St Anthony Summit Medical Center

Gross charge $414

Metro
Rest of Colorado
Median negotiated
$248
Your carrier's rate
25th–75th
$123 – $360
Cash
$165
Payers
13
Uchealth University of Colorado Hospital Aurora

Gross charge $590

Metro
Denver Metro
Median negotiated
$296
Your carrier's rate
25th–75th
$206 – $354
Cash
$207
Payers
15
Uchealth Estes Valley Medical Center Estes Park

Gross charge $533

Metro
Fort Collins
Median negotiated
$506
Your carrier's rate
25th–75th
$261 – $506
Cash
$400
Payers
15
Pikes Peak Regional Hospital Woodland Park
Metro
Colorado Springs
Median negotiated
$541
Your carrier's rate
25th–75th
$473 – $626
Cash
Payers
2
Commonspirit St Thomas More Hospital Ca on City
Metro
Rest of Colorado
Median negotiated
$619
Your carrier's rate
25th–75th
$619 – $619
Cash
Payers
1

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS)

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Comprehensive Eye Exam, Established Patient cost in Colorado?

Across 33 Colorado hospitals that publish a commercial negotiated rate, the median is $151. The middle half of hospitals fall between $74 and $212 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Comprehensive Eye Exam, Established Patient under 59 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Comprehensive Eye Exam, Established Patient if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $171. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS)

What does CPT 92014 mean?

CPT 92014 is the CPT (Current Procedural Terminology) code for Comprehensive Eye Exam, Established Patient. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.