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
$142
Median
$60
High
$22k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
353 hospitals; the 90th percentile is 2.6× 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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437 hospital rates
iThe hospitals that file a WellCare 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 207 | $27 – $27 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 207 | $26 – $26 |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $50 | $50 | — | — | 4–40 | $50 – $50 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 5 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 3 | $65 | $97 | $44 | 46% | 1–10 | $65 – $160 |
| 6 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $64 | $64 | $1 | 2% | — | $62 – $65 |
| 7 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 8 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $15 | $15 | $2 | 12% | — | $13 – $17 |
| 9 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 14 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 15 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $23 | $22 | $8 | 34% | — | $11 – $30 |
| 19 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $23 | $22 | $8 | 34% | — | $11 – $30 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 2 | $23 | $22 | $8 | 34% | — | $11 – $30 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 2 | $23 | $22 | $8 | 34% | — | $11 – $30 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $23 | $22 | $8 | 34% | — | $11 – $30 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $23 | $22 | $8 | 34% | — | $11 – $30 |
| 24 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 25 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
← Payers reporting CPT 92134 · Snapshot 20261111T120946Z-9134e7f7