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
$14
Average
$129
Median
$129
High
$518
Each hospital's average Medica rate, under the methodology and billing class chosen below.
87 hospitals; the 90th percentile is 8.8× 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.
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157 hospital rates
iThe hospitals that file a Medica 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 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $49 | $49 | $23 | 47% | 38–74 | $26 – $72 |
| 2 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $23 | $29 | $9 | 30% | 13–22 | $20 – $43 |
| 3 | Fairview Health Services Edina, MN other · inpatient | 1 | $72 | $72 | — | — | 4–40 | $72 – $72 |
| 4 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $54 | $54 | — | — | 4–40 | $54 – $54 |
| 5 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $30 | $30 | — | — | 4–40 | $30 – $30 |
| 6 | Fairview Health Services Princeton, MN other · inpatient | 1 | $40 | $40 | — | — | 4–40 | $40 – $40 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $50 | $51 | 102% | 3–30 | $13 – $122 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $50 | $51 | 102% | 3–30 | $13 – $122 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $113 | $133 | $48 | 36% | 2–20 | $84 – $203 |
| 10 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $116 | $179 | $103 | 57% | 2–20 | $97 – $324 |
| 11 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $34 | $9 | 27% | 1–10 | $22 – $42 |
| 12 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $29 | $27 | $8 | 30% | 1–10 | $16 – $39 |
| 13 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $263 | $270 | $57 | 21% | 1–10 | $175 – $347 |
| 14 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $12 | $14 | $7 | 47% | — | $8 – $25 |
| 15 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $12 | $14 | $7 | 47% | — | $8 – $25 |
| 16 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $70 | $70 | $42 | 60% | — | $28 – $111 |
| 17 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $291 | $291 | $22 | 8% | — | $269 – $313 |
| 18 | Avera Marshall Hospital Marshall, MN fee schedule · both | 2 | $82 | $82 | — | — | — | $82 – $82 |
| 19 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 2 | $95 | $95 | $9 | 9% | — | $87 – $104 |
| 20 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $9 | 10% | — | $87 – $105 |
| 21 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $291 | $291 | $22 | 8% | — | $269 – $313 |
| 22 | Avera Queen of Peace Mitchell, SD fee schedule · both | 2 | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Avera Queen of Peace Mitchell, SD percent of total billed charges · inpatientfrom % of charges | 2 | $123 | $123 | $10 | 8% | — | $113 – $133 |
| 24 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $124 | $10 | 8% | — | $114 – $135 |
| 25 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $291 | $291 | $22 | 8% | — | $269 – $313 |
← Payers reporting CPT 92250 · Snapshot 20261111T120946Z-9134e7f7