OCT scan of the retina

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ophth Dx Image Posterior Retina

Premera pricing summary

Low

$34

Average

$147

Median

$149

High

$277

Premera rate distribution

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27 hospital rates

#		Plans
1	Seattle Children's Hospital Seattle, WA professional · fee schedule · both	3	$47	$47	—	—	56–74	$47 – $47
2	Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges	5	$237	$231	$39	17%	48–66	$188 – $289
3	Central Washington Health Services Association Wenatchee, WA other · both	1	$116	$116	—	—	—	$116 – $116
4	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges	3	$66	$64	$2	4%	—	$60 – $66
5	Good Samaritan Hospital Puyallup, WA fee schedule · outpatient	4	$226	$210	$63	30%	—	$108 – $281
6	Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient	4	$226	$210	$63	30%	—	$108 – $281
7	Mercy Health Saint Marys Rockford, MI facility · fee schedule · both	1	$57	$57	—	—	—	$57 – $57
8	Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient	1	$40	$40	$12	29%	—	$28 – $52
9	Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient	1	$40	$40	$12	29%	—	$28 – $52
10	MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient	4	$226	$210	$63	30%	—	$108 – $281
11	MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient	4	$161	$147	$23	16%	—	$108 – $161
12	MultiCare Covington Medical Center Covington, WA fee schedule · outpatient	4	$226	$210	$63	30%	—	$108 – $281
13	MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient	4	$178	$160	$32	20%	—	$104 – $178
14	MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient	4	$162	$147	$26	18%	—	$102 – $162
15	MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient	3	$204	$200	$7	3%	—	$190 – $204
16	Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient	1	$277	$277	—	—	—	$277 – $277
17	Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient	1	$74	$74	—	—	—	$74 – $74
18	Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges	1	$34	$34	—	—	—	$34 – $34
19	Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges	1	$49	$49	—	—	—	$49 – $49
20	Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both	1	$229	$229	—	—	—	$229 – $229
21	Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges	1	$49	$49	—	—	—	$49 – $49
22	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient	1	$36	$36	—	—	—	$36 – $36
23	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
24	Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient	4	$229	$211	$64	30%	—	$108 – $281
25	Virginia Mason Medical Center Seattle, WA facility · case rate · outpatient	2	$136	$136	$72	53%	—	$65 – $208

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← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7

CPT 92134