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
PHOTOGRAPHY OF THE RETINA
Low
$13
Average
$313
Median
$141
High
$26.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1059 hospitals; the 90th percentile is 5.6× 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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1,678 hospital rates
iThe hospitals that file a Aetna 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $134 | $126 | $32 | 25% | 273 | $11 – $134 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $469 | $413 | $80 | 19% | 109–118 | $299 – $469 |
| 3 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $159 | $159 | $13 | 8% | 85–94 | $145 – $172 |
| 4 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $120 | $37 | 31% | 57–75 | $79 – $157 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $72 | $38 | 52% | 56 | $41 – $145 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $53 | $68 | $36 | 52% | 56 | $38 – $138 |
| 7 | Boston Medical Center Boston, MA other · both | 1 | $155 | $155 | — | — | 51 | $155 – $155 |
| 8 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $388 | $388 | — | — | 48 | $388 – $388 |
| 9 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 2 | $36 | $39 | $9 | 24% | 43 | $30 – $52 |
| 10 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $78 | $78 | — | — | 42 | $78 – $78 |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | $0 | 0% | 42 | $51 – $52 |
| 12 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $255 | $1 | 1% | 42 | $253 – $257 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $375 | $367 | $75 | 20% | 42 | $272 – $455 |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $158 | $157 | $54 | 35% | 34 | $101 – $211 |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $157 | $54 | 35% | 34 | $101 – $211 |
| 16 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $234 | $234 | — | — | 30 | $234 – $234 |
| 17 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 29 | $171 – $171 |
| 18 | St Peters Hospital Albany, NY professional · fee schedule · both | 2 | $38 | $45 | $18 | 40% | 23 | $20 – $68 |
| 19 | Samaritan Hospital Troy, NY professional · fee schedule · both | 1 | $68 | $68 | — | — | 22 | $68 – $68 |
| 20 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $351 | $351 | — | — | 21 | $351 – $351 |
| 21 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $105 | $37 | 35% | 21–30 | $77 – $166 |
| 22 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $233 | $229 | $14 | 6% | 16–25 | $203 – $241 |
| 23 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $295 | $295 | $59 | 20% | 15 | $236 – $354 |
| 24 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $852 | $850 | $284 | 33% | 13 | $557 – $1.2k |
| 25 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $83 | $83 | — | — | 4–40 | $83 – $83 |
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