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
$1
Average
$240
Median
$136
High
$22k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
920 hospitals; the 90th percentile is 8.9× 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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1,638 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 3 | $91 | $113 | $38 | 34% | 362 | $81 – $167 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $167 | $169 | $102 | 61% | 336–372 | $31 – $290 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 4 | $167 | $159 | $112 | 71% | 259–295 | $31 – $290 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $452 | $452 | — | — | 203–212 | $452 – $452 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $96 | $96 | — | — | 111–120 | $96 – $96 |
| 6 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 1 | $57 | $57 | $17 | 31% | 110 | $40 – $74 |
| 7 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $210 | $210 | — | — | 104 | $210 – $210 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | $5 | 4% | 84 | $133 – $143 |
| 9 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $196 | $196 | — | — | 66 | $196 – $196 |
| 10 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $310 | $310 | $175 | 56% | 52 | $135 – $485 |
| 11 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 50–59 | $390 – $647 |
| 12 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 50–59 | $390 – $647 |
| 13 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $93 | $33 | 35% | 41–50 | $69 – $140 |
| 14 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $487 | $487 | — | — | 38 | $487 – $487 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $58 | $52 | $9 | 17% | 37 | $39 – $59 |
| 16 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $55 | $49 | $9 | 17% | 37 | $37 – $56 |
| 17 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | $21 | 28% | 35–53 | $54 – $96 |
| 18 | St Peters Hospital Albany, NY professional · fee schedule · both | 1 | $55 | $55 | $19 | 34% | 33 | $36 – $74 |
| 19 | Boston Medical Center Boston, MA other · both | 2 | $267 | $267 | $113 | 42% | 31–40 | $155 – $380 |
| 20 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $164 | $95 | 58% | 28–46 | $0 – $219 |
| 21 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $131 | $131 | — | — | 16 | $131 – $131 |
| 22 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $131 | $131 | — | — | 16 | $131 – $131 |
| 23 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $167 | $52 | 31% | 14–32 | $111 – $220 |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $22 | $29 | $9 | 31% | 13–22 | $21 – $40 |
| 25 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $351 | $351 | — | — | 12 | $351 – $351 |
← Payers reporting CPT 92250 · Snapshot 20261112T181611Z-3fa9fb76