Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR COMP OPTH DX IMG OPTIC NERVE
Low
$12
Average
$112
Median
$58
High
$1.2k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 7.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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144 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $30 | $28 | $8 | 27% | 259 | $16 – $35 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $124 | $145 | $53 | 36% | 187–223 | $80 – $211 |
| 3 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 2 | $17 | $22 | $8 | 36% | 90 | $15 – $33 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $91 | $111 | $41 | 37% | 76–103 | $59 – $174 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $55 | $55 | $6 | 11% | 60–87 | $49 – $61 |
| 6 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $21 | $22 | $7 | 31% | 52–79 | $13 – $32 |
| 7 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $30 | $30 | — | — | 11 | $30 – $30 |
| 8 | Fairview Health Services Edina, MN other · inpatient | 1 | $30 | $30 | — | — | 3–30 | $30 – $30 |
| 9 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $49 | $49 | — | — | 3–30 | $49 – $49 |
| 10 | Fairview Health Services Princeton, MN other · inpatient | 1 | $49 | $49 | — | — | 3–30 | $49 – $49 |
| 11 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $226 | $190 | $48 | 25% | 3–30 | $136 – $244 |
| 12 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $27 | $11 | 42% | 3–30 | $17 – $43 |
| 13 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $27 | $11 | 42% | 3–30 | $17 – $43 |
| 14 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $43 | $43 | $4 | 10% | 1–10 | $39 – $47 |
| 15 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $40 | $11 | 27% | 1–10 | $26 – $49 |
| 16 | Mayo Clinic Health System Menomonie, WI professional · fee schedule · outpatient | 2 | $30 | $28 | $8 | 27% | 1–10 | $16 – $35 |
| 17 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 8 | $91 | $108 | $40 | 37% | 1–10 | $59 – $178 |
| 18 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 8 | $93 | $107 | $40 | 38% | 1–10 | $55 – $178 |
| 19 | Mayo Clinic Health System Red Wing 55066-2848 professional · fee schedule · outpatient | 2 | $17 | $23 | $7 | 32% | 1–10 | $17 – $32 |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 21 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $649 | $621 | $62 | 10% | — | $503 – $683 |
| 22 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 23 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $431 | $334 | $152 | 45% | — | $120 – $453 |
| 24 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 25 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 5 | $649 | $621 | $62 | 10% | — | $503 – $683 |
← Payers reporting CPT 92133 · Snapshot 20261111T120946Z-9134e7f7