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
PR IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI (26)
Cedar Rapids, IA
See all hospitals reporting CPT 92228 →Price type
St Luke's Methodist Hospital’s median price of $35 is 16% below the median hospital's median price ($41), higher than 17% of the 1,263 hospitals reporting CPT 92228. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 22 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 | Aetna medicare advantage fee schedule · both | $15 | $18 | $7 | 36% | — | $12 – $27 |
| 2 | Molina medicare advantage fee schedule · both | $16 | $18 | $7 | 36% | — | $12 – $27 |
| 3 | Wellmark medicare advantage fee schedule · both | $16 | $18 | $7 | 36% | — | $12 – $27 |
| 4 | Humana medicare advantage fee schedule · both | $16 | $19 | $7 | 36% | — | $12 – $28 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $16 | $19 | $7 | 36% | — | $12 – $28 |
| 6 | Wellmark commercial fee schedule · both | $30 | $37 | $13 | 36% | — | $25 – $55 |
| 7 | Wellmark hmo fee schedule · both | $30 | $37 | $13 | 36% | — | $25 – $55 |
| 8 | Aetna medicare advantage case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Molina medicare advantage case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Wellmark medicare advantage case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Humana medicare advantage case rate · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 13 | Wellmark ppo fee schedule · both | $36 | $43 | $15 | 36% | — | $29 – $65 |
| 14 | Cigna commercial fee schedule · both | $40 | $47 | $17 | 36% | — | $31 – $71 |
| 15 | Aetna hmo fee schedule · both | $47 | $51 | $19 | 38% | — | $29 – $76 |
| 16 | UnitedHealthcare hmo fee schedule · both | $55 | $58 | $23 | 39% | — | $32 – $88 |
| 17 | UnitedHealthcare ppo fee schedule · both | $55 | $58 | $23 | 39% | — | $32 – $88 |
| 18 | Aetna ppo fee schedule · both | $55 | $60 | $23 | 39% | — | $35 – $91 |
| 19 | Aetna hmo fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 20 | Aetna ppo fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
Last updated: Jan 28, 2026
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