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
PR Remote Imaging Monitoring & Mgmt Active Retinal Disease W Phys Rvw|PROFESSIONAL COMPONENT
Low
$1
Average
$141
Median
$36
High
$1.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 12.8× 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.
Filter by billing methodology
Filter by billing class
38 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $16 | $16 | $5 | 29% | — | $11 – $21 |
| 14 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Henry Ford Health Novi, MI other · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 16 | Henry Ford Health Twp, MI other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Henry Ford Health Southfield, MI other · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | Henry Ford Health Rochester, MI other · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 22 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $15 | $15 | $4 | 30% | — | $10 – $19 |
| 24 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 25 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
← Payers reporting CPT 92228 · Snapshot 20261112T124536Z-e251e855