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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Intermediate eye exam, established patient

CPT 92012the billing code this page is about

A mid-level eye evaluation for an existing patient, covering a new or ongoing problem along with a history and eye check, but not a full comprehensive exam.

Hospitals typically charge $138 cash for this outpatient procedure — the median across 613 hospitals that filed a usable cash price; the average of the middle 60% is $134. Most fall between $67 and $233 (20th–80th percentile).

Hospitals
613
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 613 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$51$78$138$194$320

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($51 vs $320).

How the prices are spread

$35 – $45: 16 hospitals$35$45 – $57: 38 hospitals$57 – $72: 57 hospitals$57$72 – $92: 57 hospitals$92 – $117: 50 hospitals$92$117 – $149: 106 hospitals$149 – $190: 103 hospitals$149$190 – $242: 53 hospitals$242 – $307: 38 hospitals$242$307 – $391: 36 hospitals$307median $138price bands are equal on a log scale
Hospitals per price band (554 of 613 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$4516
$45$5738
$57$7257
$72$9257
$92$11750
$117$149106
$149$190103
$190$24253
$242$30738
$307$39136

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$138
Cash as a multiple of Medicare1.02×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $138.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $114 across 10 hospitalsWA$114Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $148 across 21 hospitalsMN$148Illinois: median $128 across 26 hospitalsIL$128Wisconsin: median $108 across 42 hospitalsWI$108Michigan: median $124 across 18 hospitalsMI$124New York: median $236 across 59 hospitalsNY$236Massachusetts: median $157 across 11 hospitalsMA$157Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $183 across 17 hospitalsIA$183Indiana: median $47 across 19 hospitalsIN$47Ohio: median $199 across 44 hospitalsOH$199Pennsylvania: median $81 across 26 hospitalsPA$81New Jersey: median $143 across 16 hospitalsNJ$143Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $147 across 51 hospitalsCA$147Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $87 across 10 hospitalsMO$87Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $78 across 15 hospitalsWV$78Virginia: median $85 across 15 hospitalsVA$85Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $70 across 13 hospitalsTN$70North Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $74 across 10 hospitalsSC$74Oklahoma: median $83 across 14 hospitalsOK$83Louisiana: median $83 across 23 hospitalsLA$83Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $161 across 14 hospitalsGA$161Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $196 across 27 hospitalsTX$196Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $138. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY59$236+70%$138 – $338
Ohio OH44$199+44%$149 – $385
Texas TX27$196+42%$94 – $196
Iowa IA17$183+33%$183 – $183
Georgia GA14$161+17%$98 – $161
Massachusetts MA11$157+14%$98 – $242
Minnesota MN21$148+7%$92 – $173
California CA51$147+6%$145 – $292
New Jersey NJ16$143+3%$143 – $188
Illinois IL26$128−7%$65 – $256
Michigan MI18$124−10%$53 – $183
Washington WA10$114−17%$86 – $151
Wisconsin WI42$108−22%$67 – $147
Missouri MO10$87−37%$48 – $104
Virginia VA15$85−39%$59 – $153
Louisiana LA23$83−40%$46 – $98
Oklahoma OK14$83−40%$83 – $245
Pennsylvania PA26$81−42%$32 – $130
West Virginia WV15$78−44%$47 – $162
South Carolina SC10$74−46%$52 – $176
Tennessee TN13$70−49%$58 – $131
Indiana IN19$47−66%$35 – $65
Mississippi MS9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $138.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care478$143$70 – $236
Children’s23$122$82 – $175
Critical access112$120$58 – $196
Ownership
For-profit33$126$65 – $196
Government88$145$80 – $220
Non-profit492$138$67 – $236
System affiliation
Part of a system508$133$65 – $236
Independent105$149$80 – $229

Cash price vs list price

Median list price (chargemaster)$199
Median cash price$138
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

387 hospitals filed a usable inpatient cash price for this code. The median is $140 and the average of the middle 60% is $137; most fall between $67 and $239.

Cash price percentiles, inpatient, across 387 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$57$81$140$196$332

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($57 vs $332).

Of the 416 hospitals that filed this code inpatient, 387 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

613 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 658 hospitals that filed this code at all gave us
Usable cash price — counted613
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded17
Hospitals that filed this code658

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Ophthalmologic and otologic diagnosis and treatment family.

Hospitals file this code under descriptions such as Oph Svcs Medical Xm&Eval Intermediate Est Pt.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Intermediate eye exam, established patient (CPT 92012) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92012-intermediate-eye-exam-established-patient