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
$14
Average
$88
Median
$62
High
$418
Each hospital's average Optum rate, under the methodology and billing class chosen below.
133 hospitals; the 90th percentile is 6.0× 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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212 hospital rates
iThe hospitals that file a Optum 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 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $31 | $26 | $8 | 29% | 178 | $17 – $35 |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $137 | $137 | $99 | 73% | 24–60 | $37 – $236 |
| 3 | Mayo Clinic Health System Fairmont 56031-4575 professional · fee schedule · outpatient | 1 | $18 | $23 | $7 | 32% | 17 | $18 – $33 |
| 4 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 2 | $22 | $22 | $6 | 29% | 16–25 | $14 – $33 |
| 5 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $236 | $236 | — | — | 4–40 | $236 – $236 |
| 6 | Fairview Health Services Minneapolis, MN other · both | 1 | $236 | $236 | — | — | 2–20 | $236 – $236 |
| 7 | Mayo Clinic Health System Menomonie, WI professional · fee schedule · outpatient | 2 | $31 | $28 | $7 | 26% | 1–10 | $17 – $35 |
| 8 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $31 | $27 | $7 | 25% | 1–10 | $17 – $31 |
| 9 | Mayo Clinic Health System Red Wing 55066-2848 professional · fee schedule · outpatient | 1 | $18 | $23 | $7 | 32% | 1–10 | $18 – $33 |
| 10 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 11 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $17 | $22 | $6 | 30% | — | $17 – $31 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | $80 | 49% | — | $82 – $241 |
| 17 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 18 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $15 | $14 | $3 | 19% | — | $11 – $17 |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $60 | $60 | $1 | 1% | — | $59 – $61 |
| 20 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 21 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 22 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 23 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $418 | $418 | — | — | — | $418 – $418 |
| 24 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 25 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $125 | $117 | $14 | 12% | — | $98 – $128 |
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