Eye exam, new patient, comprehensive at Loyola Gottlieb Memorial Hospital
CPT 92004 · Melrose Park, IL
These are Loyola Gottlieb Memorial Hospital's own posted figures from its standard-charges file dated March 31, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 10 Illinois hospitals we index that post a cash price for this service: lowest $46.74, median $161.60, highest $745.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Loyola University Medical Center Maywood, IL | 1.9 mi | $56.58 | $246.00 | 2026-03-31 |
| University of Illinois Hospital and Clinics Chicago, IL | 9.1 mi | $148.20 | $494.00 | 2026-04-01 |
| Humboldt Park Health Chicago, IL | 9.2 mi | $143.18 | $511.35 | 2026-09-29 |
| Swedish Hospital Chicago, IL | 9.6 mi | $132.00 | $132.00 | 2026-04-01 |
| Mt Sinai Hospital Medical Center Chicago, IL | 10.6 mi | $225.04 | $321.49 | 2026-09-22 |
| Holy Cross Hospital Chicago, IL | 11.8 mi | $225.04 | $321.49 | 2026-09-22 |
| Ann & Robert H Lurie Childrens Hospital of Chicago Chicago, IL | 12.7 mi | $175.00 | $250.00 | 2026-09-01 |
| The University of Chicago Medical Center Chicago, IL | 15.7 mi | $745.00 | $745.00 | 2026-04-01 |
Distances are straight-line from ZIP code centers. Each hospital's figures come from its own file; files are updated on different dates.
Every row for CPT 92004 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| Ophthal Exam Comp New Pt W Gross Vis Fld line 1029914 | outpatient | $46.74 | $246.00 | $124.93 – $360.29 |
| Ophthal Exam Comp New Pt W Gross Vis Fld line 1029915 | outpatient | $46.74 | $246.00 | $104.80 – $179.58 |
| Ophthal Exam Comp New Pt W Gross Vis Fld line 1029924 | outpatient | $46.74 | $246.00 | |
| Ophthal Exam Comp New Pt W Gross Vis Fld line 1029934 | outpatient | $46.74 | $246.00 |
The first row is the one used above. A price for one code usually covers the hospital's facility charge only; the doctor, anesthesia, pathology and other services can be billed separately. Ask the hospital for a good faith estimate before a scheduled service: if you pay yourself and the bill comes in $400 or more above the estimate, you can dispute it under the No Surprises Act.
Check a bill from this hospital All Loyola Gottlieb Memorial Hospital prices