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
$517
Median
$182
High
$18.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
795 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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1,113 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 · percent of total billed charges · outpatientfrom % of charges | 2 | $375 | $348 | $51 | 15% | 1,628–1,682 | $253 – $375 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $294 | $263 | $54 | 21% | 171–180 | $187 – $308 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $52 | $49 | $9 | 17% | 152 | $35 – $58 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $49 | $46 | $8 | 17% | 152 | $34 – $55 |
| 5 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $93 | $115 | $41 | 35% | 126–144 | $77 – $186 |
| 6 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $96 | $96 | — | — | 61–142 | $96 – $96 |
| 7 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $369 | $369 | — | — | 44 | $369 – $369 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $109 | $132 | $48 | 36% | 43–61 | $82 – $208 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $287 | $287 | $55 | 19% | 42 | $232 – $342 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $24 | $75 | $80 | 106% | 31–112 | $16 – $235 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $24 | $75 | $80 | 106% | 31–112 | $16 – $235 |
| 12 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $730 | $810 | $301 | 37% | 26–53 | $412 – $1.3k |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $145 | $45 | 31% | 24–42 | $96 – $190 |
| 14 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $153 | $153 | — | — | 17 | $153 – $153 |
| 15 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $21 | $27 | $10 | 36% | 12–21 | $17 – $43 |
| 16 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | 11 | $143 – $143 |
| 17 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | $21 | 28% | 10–100 | $54 – $96 |
| 18 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 4 | $37 | $58 | $37 | 64% | 5–50 | $20 – $111 |
| 19 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $688 | $688 | — | — | 3–30 | $688 – $688 |
| 20 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $25 | $26 | $8 | 29% | 3–30 | $16 – $39 |
| 21 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $73 | 50% | 2–20 | $73 – $220 |
| 22 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $73 | 50% | 2–20 | $73 – $220 |
| 23 | Mayo Clinic Health System Red Wing 55066-2848 professional · fee schedule · outpatient | 3 | $21 | $27 | $8 | 31% | 2–20 | $20 – $39 |
| 24 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | — | — | 2–20 | $215 – $215 |
| 25 | Mayo Clinic Arizona Phoenix, AZ professional · fee schedule · outpatient | 1 | $20 | $24 | $9 | 36% | 1–10 | $16 – $36 |
← Payers reporting CPT 92250 · Snapshot 20261111T120946Z-9134e7f7