Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Detailed eye exam with drawing of optic nerve or macula

CPT code CPT 92202the billing code this page is about

An extended examination of the back of the eye focused on the optic nerve or the central retina, including a drawing and report; covers one or both eyes.

Hospitals typically charge $66 cash for this outpatient procedure — the median across 424 hospitals that filed a usable cash price; the average of the middle 60% is $67. Most fall between $26 and $134 (20th–80th percentile).

Hospitals
424
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 424 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
$19$34$66$121$180

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($19 vs $180).

How the prices are spread

$11 – $16: 18 hospitals$11$16 – $22: 14 hospitals$22 – $30: 46 hospitals$22$30 – $41: 46 hospitals$41 – $57: 44 hospitals$41$57 – $78: 75 hospitals$78 – $108: 49 hospitals$78$108 – $148: 34 hospitals$148 – $205: 44 hospitals$148$205 – $282: 16 hospitals$205median $66price bands are equal on a log scale
Hospitals per price band (386 of 424 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$1618
$16$2214
$22$3046
$30$4146
$41$5744
$57$7875
$78$10849
$108$14834
$148$20544
$205$28216

Against Medicare

Medicare pays (OPPS 2026, national rate)$60
Median cash price$66
Cash as a multiple of Medicare1.10×

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 $66.

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: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals 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 $120 across 17 hospitalsMN$120Illinois: median $57 across 17 hospitalsIL$57Wisconsin: median $45 across 45 hospitalsWI$45Michigan: median $31 across 11 hospitalsMI$31New York: median $70 across 49 hospitalsNY$70Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $41 across 15 hospitalsIA$41Indiana: median $64 across 12 hospitalsIN$64Ohio: median $74 across 12 hospitalsOH$74Pennsylvania: median $22 across 22 hospitalsPA$22New Jersey: median $66 across 12 hospitalsNJ$66Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $170 across 47 hospitalsCA$170Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $26 across 12 hospitalsOK$26Louisiana: 3 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: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $134 across 20 hospitalsTX$134Florida: median $270 across 15 hospitalsFL$270
Cash price by state, most expensive first. National median $66. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL15$270+309%$60 – $286
California CA47$170+157%$34 – $170
Texas TX20$134+103%$102 – $134
Minnesota MN17$120+82%$40 – $158
Ohio OH12$74+12%$58 – $101
New York NY49$70+7%$56 – $158
New Jersey NJ12$660%$66 – $76
Indiana IN12$64−2%$57 – $87
Illinois IL17$57−14%$26 – $123
Wisconsin WI45$45−32%$11 – $85
Iowa IA15$41−38%$41 – $41
Michigan MI11$31−53%$23 – $81
Oklahoma OK12$26−61%$26 – $26
Pennsylvania PA22$22−67%$9 – $74
Washington WA8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Idaho ID5not 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
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Louisiana LA3not 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
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
Rhode Island RI2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not 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 $66.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care363$66$28 – $134
Children’s11fewer than 20 hospitals
Critical access50$70$23 – $134
Ownership
For-profit19fewer than 20 hospitals
Government52$70$39 – $162
Non-profit353$66$26 – $134
System affiliation
Part of a system365$68$26 – $134
Independent59$61$32 – $158

Cash price vs list price

Median list price (chargemaster)$122
Median cash price$66
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

265 hospitals filed a usable inpatient cash price for this code. The median is $60 and the average of the middle 60% is $76; most fall between $26 and $170.

Cash price percentiles, inpatient, across 265 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
$20$30$60$146$221

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($20 vs $221).

Of the 283 hospitals that filed this code inpatient, 265 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

424 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 451 hospitals that filed this code at all gave us
Usable cash price — counted424
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
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 code451

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.

Hospitals file this code under descriptions such as Opscpy Extnd Optic Nrv/Macula Drawing 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 optic nerve or macula (CPT 92202) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92202-detailed-eye-exam-with-drawing-of-optic-nerve-or-macula