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
Ophth Dx Image Posterior Retina
Low
$21
Average
$106
Median
$77
High
$1.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
284 hospitals; the 90th percentile is 5.5× 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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500 hospital rates
iThe hospitals that file a Anthem 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 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $155 | $137 | $48 | 35% | 629–638 | $59 – $177 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $89 | $87 | $52 | 60% | 546 | $29 – $142 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $184 | $184 | $32 | 17% | 504 | $152 – $216 |
| 4 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | $90 | 42% | 422 | $126 – $306 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $432 | $432 | $9 | 2% | 61–70 | $423 – $442 |
| 6 | Eskenazi Health Indianapolis, IN facility · other · both | 2 | $62 | $62 | — | — | 46–55 | $62 – $62 |
| 7 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $140 | $140 | — | — | 46–55 | $140 – $140 |
| 8 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 1 | $134 | $134 | — | — | 29 | $134 – $134 |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $29 | $29 | — | — | 12 | $29 – $29 |
| 10 | Eskenazi Health Indianapolis, IN facility · case rate · both | 1 | $164 | $164 | — | — | 1–10 | $164 – $164 |
| 11 | Eskenazi Health Indianapolis, IN facility · case rate · outpatient | 1 | $371 | $371 | — | — | 1–10 | $371 – $371 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $56 | $92 | $52 | 56% | — | $55 – $165 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $68 | $72 | $41 | 57% | — | $17 – $133 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $123 | $123 | $20 | 16% | — | $103 – $143 |
| 18 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $102 | $102 | $35 | 35% | — | $59 – $145 |
| 19 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $20 | $23 | $11 | 46% | — | $13 – $40 |
| 21 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 22 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $153 | $135 | $55 | 41% | — | $59 – $191 |
| 24 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $264 | $264 | — | — | — | $264 – $264 |
| 25 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $27 | $27 | — | — | — | $27 – $27 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7