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
$23
Average
$131
Median
$115
High
$497
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 3.7× 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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90 hospital rates
iThe hospitals that file a Medical Mutual 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 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 6 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $497 | $497 | $104 | 21% | — | $392 – $601 |
| 7 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $497 | $497 | $104 | 21% | — | $392 – $601 |
| 8 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 12 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 13 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $147 | $53 | 36% | — | $96 – $223 |
| 14 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $219 | $241 | $141 | 59% | — | $88 – $436 |
| 15 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $88 | $96 | $39 | 41% | — | $47 – $167 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | $47 | 23% | — | $157 – $250 |
| 18 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 19 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | $47 | 23% | — | $157 – $250 |
| 20 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 21 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | $47 | 23% | — | $157 – $250 |
| 22 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 23 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | $47 | 23% | — | $157 – $250 |
| 24 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $89 | $33 | 37% | — | $53 – $135 |
| 25 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $89 | $33 | 37% | — | $53 – $135 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7