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
$1
Average
$156
Median
$63
High
$6.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
867 hospitals; the 90th percentile is 7.1× 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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1,423 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 1,509 | $390 – $647 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 1,509 | $390 – $647 |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $59 | $60 | $18 | 31% | 1,065 | $37 – $82 |
| 4 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $108 | $108 | — | — | 751 | $108 – $108 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $40 | $36 | $6 | 18% | 687 | $27 – $41 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $34 | $6 | 17% | 687 | $26 – $39 |
| 7 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $35 | $28 | $8 | 29% | 663 | $19 – $36 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $130 | $112 | $58 | 52% | 620 | $30 – $182 |
| 9 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $83 | $32 | 39% | 272 | $46 – $125 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $58 | $58 | — | — | 241 | $58 – $58 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $58 | $58 | — | — | 241 | $58 – $58 |
| 12 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $140 | $50 | 36% | 182–191 | $92 – $209 |
| 13 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $379 | $379 | — | — | 135 | $379 – $379 |
| 14 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | $16 | 16% | 103 | $84 – $117 |
| 15 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 2 | $135 | $135 | $14 | 11% | 87–96 | $121 – $150 |
| 16 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | — | — | 87–96 | $121 – $121 |
| 17 | Tufts Medical Center BOSTON, MA other · both | 4 | $228 | $228 | — | — | 82–109 | $228 – $228 |
| 18 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | $16 | 11% | 67 | $127 – $159 |
| 19 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $581 | $581 | — | — | 63 | $581 – $581 |
| 20 | Eskenazi Health Indianapolis, IN facility · other · both | 4 | $62 | $62 | — | — | 54–72 | $62 – $62 |
| 21 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 4 | $140 | $140 | — | — | 54–72 | $140 – $140 |
| 22 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $48 | $48 | — | — | 43 | $48 – $48 |
| 23 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $190 | $190 | $37 | 19% | 43–61 | $153 – $227 |
| 24 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $71 | $71 | — | — | 41 | $71 – $71 |
| 25 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $408 | $408 | $15 | 4% | 40 | $393 – $423 |
← Payers reporting CPT 92134 · Snapshot 20261112T181611Z-3fa9fb76