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
$27
Average
$211
Median
$179
High
$1.3k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 8.0× 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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33 hospital rates
iThe hospitals that file a Carefirst 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 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $35 | $36 | $3 | 10% | — | $32 – $40 |
| 5 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 3 | $43 | $54 | $13 | 25% | — | $43 – $70 |
| 6 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 2 | $52 | $51 | $2 | 4% | — | $48 – $52 |
| 7 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · outpatient | 2 | $70 | $70 | $1 | 1% | — | $69 – $70 |
| 8 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $179 | $179 | $5 | 3% | — | $175 – $184 |
| 9 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $179 | $179 | $5 | 3% | — | $175 – $184 |
| 10 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $179 | $179 | $5 | 3% | — | $175 – $184 |
| 11 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $179 | $179 | $5 | 3% | — | $175 – $184 |
| 12 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $179 | $179 | $5 | 3% | — | $175 – $184 |
| 13 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 14 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $222 | $222 | — | — | — | $222 – $222 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 3 | $28 | $29 | $14 | 49% | — | $11 – $52 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $28 | $31 | $15 | 49% | — | $11 – $52 |
| 18 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 19 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 20 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $81 | $81 | $11 | 13% | — | $70 – $92 |
| 21 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 22 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $180 | $180 | — | — | — | $180 – $180 |
| 23 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $180 | $180 | — | — | — | $180 – $180 |
| 24 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $34 | $27 | $8 | 30% | — | $17 – $34 |
| 25 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7