OBJECTIVES: To report the cost per outcome of a robust model to deliver glaucoma examinations to older Philadelphians at community centers. METHODS: The cost-outcome analysis was performed taking a health system perspective, with outcome defined as diagnostic yield (cases of glaucoma detected and cases of any ocular disease detected). Costs included supplies (slit lamp, visual field machine, handheld fundus camera, laptops, medical and office supplies), travel (van rental, fuel, maintenance, personnel mileage reimbursements), and personnel time (for examination, travel to sites, training, and supervision). Personnel time was captured by time and motion data collected during site visits. Costs of community health workers and medical assistants were based on regional 2013 US Bureau of Labor and Statistics (BLS) wage rates, and ophthalmologist wages were based on 2013 NIH salary cap. Wage rates for project supervisors were assumed to be 25% more than a medical assistant. Fringe benefits were added to all wage costs at 31% (BLS). RESULTS: CONCLUSIONS: The cost to deliver glaucoma examinations through this program is relatively low in relation to its diagnostic yield, however opportunities exist to improve efficiency of examination and travel.