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
$65
Median
$62
High
$278
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
61 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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94 hospital rates
iThe hospitals that file a Ucare 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 Rochester, MN professional · fee schedule · outpatient | 4 | $18 | $21 | $8 | 38% | 740–749 | $12 – $38 |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $58 | $87 | $56 | 64% | 382–418 | $38 – $165 |
| 3 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $18 | $22 | $8 | 37% | 36–54 | $14 – $38 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $142 | $52 | 36% | 22 | $89 – $219 |
| 5 | Fairview Health Services Edina, MN other · inpatient | 1 | $149 | $149 | — | — | 4–40 | $149 – $149 |
| 6 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $177 | $177 | — | — | 4–40 | $177 – $177 |
| 7 | Mayo Clinic Health System Fairmont 56031-4575 facility · other · both | 2 | $79 | $79 | $4 | 5% | 1–10 | $75 – $83 |
| 8 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 4 | $122 | $118 | $65 | 55% | 1–10 | $55 – $231 |
| 9 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $21 | $21 | $3 | 14% | — | $18 – $24 |
| 11 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 12 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 14 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 15 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Essentia Health Virginia 901 9th St N Virginia, MN facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 18 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 4 | $35 | $37 | $24 | 64% | — | $11 – $86 |
| 19 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 4 | $82 | $90 | $32 | 36% | — | $60 – $136 |
| 20 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $124 | $123 | $2 | 1% | — | $121 – $125 |
| 21 | Fairview Health Services Edina, MN fee schedule · both | 4 | $35 | $37 | $24 | 64% | — | $11 – $86 |
| 22 | Fairview Health Services Edina, MN fee schedule · outpatient | 4 | $83 | $90 | $32 | 36% | — | $60 – $136 |
| 23 | Fairview Health Services Minneapolis, MN fee schedule · both | 6 | $35 | $35 | $23 | 65% | — | $11 – $86 |
| 24 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 6 | $83 | $93 | $34 | 37% | — | $60 – $136 |
| 25 | Fairview Health Services Burnsville, MN fee schedule · both | 4 | $35 | $37 | $24 | 64% | — | $11 – $86 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7