How Much Does Compre Oph Examination New Patient Patient 1 or More Cost?
Also known as: Compre oph exam new pt 1/> (CPT 92004)
A comprehensive eye exam including dilation, performed by an ophthalmologist.
Compre Oph Examination New Patient Patient 1 or More (CPT 92004) costs $78 at Medicare rates.
Patient Guide: Compre Oph Examination New Patient Patient 1 or More
What you need to know before your appointment
What to Expect
The doctor will test your vision, check eye pressure, examine the front and back of your eyes, and dilate your pupils with drops to examine the retina. Dilation causes temporary blurry vision and light sensitivity.
How Long Does It Take?
30-60 minutes
Common Reasons Doctors Order This
Annual eye exam, diabetes eye screening, glaucoma evaluation, eye disease monitoring, new eye symptoms
How to Prepare
Bring sunglasses for after dilation. Arrange a driver if you are sensitive to the dilation. Bring your current glasses or contacts. Bring a list of medications.
Procedures Commonly Done Together
These procedures are frequently performed alongside Compre oph exam new pt 1/>
How to Reduce Your Cost for Compre oph exam new pt 1/>
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($150) differs from the facility rate ($78). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (4.48) x CF ($33.40) = $150
Related Procedures
Similar procedures in the same category or body system
People Also Ask
Common questions people search for about this procedure
Do all eye exams check for glaucoma?
If you are younger than 40 and have no known risk factors for glaucoma, the American Academy of Ophthalmology (AAO) recommends a complete eye exam every 5 to 10 years. The exam includes tests that check for glaucoma. The recommended schedule for those over 40 are: Every 1-2 years for adults 40-54.
How much is an eye exam without insurance in the USA?
On average, you can expect to pay 0 to 00 for an eye exam without insurance. You can call ahead for a rough estimate to help you budget accordingly.
How much does an eye exam at Walmart cost?
A comprehensive eye health and vision exam starts at 5.00. A basic contact lens exam starts at 10.00. If you have astigmatism or need bifocal correction and want to wear contact lenses, there is a modest additional cost. Q.
Do you get a free eye test with glaucoma?
You're eligible for a free NHS sight test if: you've been diagnosed with diabetes or glaucoma. you're aged 40 or over and your mother, father, sibling or child has been diagnosed with glaucoma. you've been told by an ophthalmologist you're at risk of glaucoma.
Frequently Asked Questions
How much does Compre oph exam new pt 1/> cost?
The Medicare facility rate for Compre oph exam new pt 1/> is $78. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Compre oph exam new pt 1/> cost without insurance?
Without insurance, the cost of Compre oph exam new pt 1/> can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Compre oph exam new pt 1/>?
Most commercial health insurance plans and Medicare cover Compre oph exam new pt 1/> when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.