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
$18
Average
$84
Median
$69
High
$228
Each hospital's average Regence rate, under the methodology and billing class chosen below.
55 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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87 hospital rates
iThe hospitals that file a Regence 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $53 | $52 | $1 | 2% | 96–105 | $50 – $53 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $207 | $223 | $41 | 19% | 95 | $188 – $289 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $100 | $98 | $16 | 16% | — | $75 – $116 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $100 | $98 | $16 | 16% | — | $75 – $116 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $100 | $98 | $16 | 16% | — | $75 – $116 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $100 | $98 | $16 | 16% | — | $75 – $116 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $100 | $98 | $16 | 16% | — | $75 – $116 |
| 9 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 10 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $66 | $66 | $0 | 0% | — | $66 – $67 |
| 11 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 13 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 14 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $33 | $36 | $14 | 38% | — | $22 – $54 |
| 15 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 16 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · case rate · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 17 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $19 | $19 | $5 | 24% | — | $15 – $24 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · case rate · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $19 | $19 | $5 | 24% | — | $15 – $24 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $19 | $19 | $5 | 24% | — | $15 – $24 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · case rate · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $19 | $19 | $5 | 24% | — | $15 – $24 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $19 | $19 | $5 | 24% | — | $15 – $24 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $19 | $19 | $5 | 24% | — | $15 – $24 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7