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
$18
Average
$373
Median
$102
High
$80.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
740 hospitals; the 90th percentile is 6.1× 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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1,006 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $37 | $44 | $20 | 45% | 1,859 | $25 – $86 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $37 | $44 | $20 | 45% | 1,859 | $25 – $86 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $116 | $142 | $51 | 36% | 1,566–1,593 | $89 – $223 |
| 4 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $19 | $24 | $9 | 36% | 1,498–1,516 | $15 – $38 |
| 5 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 4 | $33 | $50 | $32 | 64% | 617–626 | $17 – $116 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $150 | $17 | 11% | 544 | $133 – $167 |
| 7 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 5 | $22 | $24 | $7 | 30% | 506–551 | $14 – $35 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $97 | $103 | $39 | 38% | 464–482 | $51 – $167 |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $482 | $482 | — | — | 428 | $482 – $482 |
| 10 | Mayo Clinic Health System Red Wing 55066-2848 professional · fee schedule · outpatient | 3 | $19 | $23 | $7 | 32% | 156–165 | $18 – $35 |
| 11 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $307 | $307 | — | — | 122 | $307 – $307 |
| 12 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $71 | $71 | — | — | 102 | $71 – $71 |
| 13 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $192 | $193 | $45 | 23% | 75–93 | $140 – $255 |
| 14 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $159 | $153 | $28 | 18% | 68–77 | $116 – $183 |
| 15 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $67 | $67 | — | — | 63 | $67 – $67 |
| 16 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | $14 | 16% | 60–69 | $73 – $101 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $89 | $33 | 37% | 55 | $53 – $136 |
| 18 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $32 | $32 | $0 | 1% | 54 | $32 – $32 |
| 19 | Mayo Clinic Health System Fairmont 56031-4575 facility · fee schedule · both | 1 | $64 | $64 | — | — | 11 | $64 – $64 |
| 20 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $497 | $456 | $65 | 14% | 4–40 | $331 – $512 |
| 21 | San Bernardino County Redlands, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $239 | $239 | — | — | 3–30 | $239 – $239 |
| 22 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 4 | $34 | $42 | $28 | 66% | 2–20 | $17 – $116 |
| 23 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $28 | $32 | $14 | 42% | 2–20 | $11 – $52 |
| 24 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $141 | $166 | $46 | 28% | 2–20 | $94 – $224 |
| 25 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $70 | $70 | $3 | 5% | 1–10 | $67 – $73 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7