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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Detailed eye exam with drawing of outer retina

CPT 92201the billing code this page is about

An extended examination of the back of the eye with dilation, including a hand-drawn map of the retina out to its edges, with a report; covers one or both eyes.

Hospitals typically charge $80 cash for this outpatient procedure — the median across 477 hospitals that filed a usable cash price; the average of the middle 60% is $86. Most fall between $41 and $173 (20th–80th percentile).

Hospitals
477
States
47
Filings dated
Dec 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 477 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
$30$45$80$138$199

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($30 vs $199).

How the prices are spread

$17 – $23: 20 hospitals$17$23 – $31: 12 hospitals$31 – $41: 41 hospitals$31$41 – $55: 59 hospitals$55 – $73: 72 hospitals$55$73 – $98: 68 hospitals$98 – $131: 53 hospitals$98$131 – $176: 50 hospitals$176 – $235: 48 hospitals$176$235 – $314: 16 hospitals$235median $80price bands are equal on a log scale
Hospitals per price band (439 of 477 — the bands cover the 5th to 95th percentile)
FromToHospitals
$17$2320
$23$3112
$31$4141
$41$5559
$55$7372
$73$9868
$98$13153
$131$17650
$176$23548
$235$31416

Against Medicare

Medicare pays (OPPS 2026, national rate)$60
Median cash price$80
Cash as a multiple of Medicare1.32×

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 $80.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $86 across 22 hospitalsMN$86Illinois: median $57 across 18 hospitalsIL$57Wisconsin: median $45 across 45 hospitalsWI$45Michigan: median $36 across 11 hospitalsMI$36New York: median $89 across 49 hospitalsNY$89Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $77 across 11 hospitalsOR$77Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $53 across 15 hospitalsIA$53Indiana: median $99 across 12 hospitalsIN$99Ohio: median $110 across 12 hospitalsOH$110Pennsylvania: median $37 across 28 hospitalsPA$37New Jersey: median $66 across 13 hospitalsNJ$66Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $199 across 42 hospitalsCA$199Utah: median $176 across 17 hospitalsUT$176Colorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $41 across 12 hospitalsOK$41Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $107 across 32 hospitalsTX$107Florida: median $172 across 17 hospitalsFL$172
Cash price by state, most expensive first. National median $80. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA42$199+150%$41 – $199
Utah UT17$176+120%$141 – $176
Florida FL17$172+116%$71 – $314
Ohio OH12$110+38%$68 – $114
Texas TX32$107+34%$71 – $131
Indiana IN12$99+25%$87 – $134
New York NY49$89+12%$70 – $158
Minnesota MN22$86+8%$67 – $173
Oregon OR11$77−4%$77 – $149
New Jersey NJ13$66−18%$66 – $78
Illinois IL18$57−29%$38 – $189
Iowa IA15$53−34%$53 – $53
Wisconsin WI45$45−43%$17 – $133
Oklahoma OK12$41−48%$41 – $41
Pennsylvania PA28$37−54%$14 – $81
Michigan MI11$36−55%$36 – $81
Washington WA9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Wyoming WY1not 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 $80.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care409$77$41 – $173
Children’s18fewer than 20 hospitals
Critical access49$67$36 – $173
Ownership
For-profit23$82$39 – $170
Government58$70$46 – $145
Non-profit395$81$41 – $173
System affiliation
Part of a system410$81$41 – $173
Independent67$70$45 – $145

Cash price vs list price

Median list price (chargemaster)$158
Median cash price$80
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

314 hospitals filed a usable inpatient cash price for this code. The median is $78 and the average of the middle 60% is $92; most fall between $40 and $176.

Cash price percentiles, inpatient, across 314 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
$30$41$78$149$199

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($30 vs $199).

Of the 333 hospitals that filed this code inpatient, 314 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

477 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 497 hospitals that filed this code at all gave us
Usable cash price — counted477
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded7
Hospitals that filed this code497

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 Opscpy Extnd RTA Drawing & Scl Deprsn I&R Uni/Bi.

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, “Detailed eye exam with drawing of outer retina (CPT 92201) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92201-detailed-eye-exam-with-drawing-of-outer-retina