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
Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; initial device provision, set-up and pa
Denver, CO
See all hospitals reporting CPT 0604T →Price type
Spalding At Psl’s median price of $212 is 14% above the median hospital's median price ($185), higher than 58% of the 776 hospitals reporting CPT 0604T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare coloradodoctorsplan fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 2 | MultiPlan beechstreetworkerscomp fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 3 | MultiPlan workerscomp fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 4 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
Last updated: Mar 1, 2026
See Remote retinal OCT scan with patient-initiated image upload pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.