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
$17
Average
$110
Median
$46
High
$650
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 7.6× 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.
Filter by billing methodology
Filter by billing class
13 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 3 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $60 | $60 | $8 | 13% | — | $52 – $67 |
| 4 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $16 | $16 | $5 | 30% | — | $11 – $21 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 8 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 12 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | $20 | 20% | — | $80 – $120 |
| 13 | Yale New Haven Hospital Haven, CT fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7