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
$141
Median
$88
High
$606
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 13.1× 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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26 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $123 | $123 | $22 | 18% | — | $101 – $146 |
| 7 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 8 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 10 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 11 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 12 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 17 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | $21 | 28% | — | $54 – $96 |
| 25 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | $32 | 20% | — | $128 – $193 |
← Payers reporting CPT 92250 · Snapshot 20261111T120946Z-9134e7f7