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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Photographs of the back of the eye

CPT 92250the billing code this page is about

Photographs of the retina, optic nerve and surrounding tissue, with a written interpretation and report.

Hospitals typically charge $153 cash for this outpatient procedure — the median across 877 hospitals that filed a usable cash price; the average of the middle 60% is $165. Most fall between $60 and $321 (20th–80th percentile).

Hospitals
877
States
50
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 877 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
$36$79$153$282$427

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($36 vs $427).

How the prices are spread

$23 – $31: 24 hospitals$23$31 – $44: 35 hospitals$44 – $61: 75 hospitals$44$61 – $84: 61 hospitals$84 – $117: 98 hospitals$84$117 – $163: 134 hospitals$163 – $227: 127 hospitals$163$227 – $316: 101 hospitals$316 – $439: 95 hospitals$316$439 – $611: 43 hospitals$439median $153price bands are equal on a log scale
Hospitals per price band (793 of 877 — the bands cover the 5th to 95th percentile)
FromToHospitals
$23$3124
$31$4435
$44$6175
$61$8461
$84$11798
$117$163134
$163$227127
$227$316101
$316$43995
$439$61143

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$153
Cash as a multiple of Medicare1.12×

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 $153.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $114 across 13 hospitalsWA$114Idaho: median $395 across 12 hospitalsID$395Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $114 across 27 hospitalsMN$114Illinois: median $126 across 34 hospitalsIL$126Wisconsin: median $102 across 42 hospitalsWI$102Michigan: median $149 across 32 hospitalsMI$149New York: median $153 across 62 hospitalsNY$153Massachusetts: median $401 across 17 hospitalsMA$401Oregon: median $30 across 10 hospitalsOR$30Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $52 across 17 hospitalsIA$52Indiana: median $267 across 24 hospitalsIN$267Ohio: median $155 across 36 hospitalsOH$155Pennsylvania: median $178 across 53 hospitalsPA$178New Jersey: median $143 across 18 hospitalsNJ$143Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $295 across 68 hospitalsCA$295Utah: median $1,131 across 23 hospitalsUT$1,131Colorado: median $180 across 15 hospitalsCO$180Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $78 across 15 hospitalsMO$78Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $73 across 17 hospitalsWV$73Virginia: median $157 across 22 hospitalsVA$157Maryland: median $330 across 11 hospitalsMD$330Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 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: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $55 across 20 hospitalsTN$55North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $177 across 17 hospitalsSC$177Oklahoma: median $34 across 16 hospitalsOK$34Louisiana: median $84 across 25 hospitalsLA$84Mississippi: median $90 across 13 hospitalsMS$90Alabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $215 across 28 hospitalsGA$215Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $209 across 56 hospitalsTX$209Florida: median $162 across 36 hospitalsFL$162
Cash price by state, most expensive first. National median $153. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT23$1,131+642%$1,131 – $1,191
Massachusetts MA17$401+163%$257 – $452
Idaho ID12$395+159%$303 – $611
Maryland MD11$330+117%$124 – $499
California CA68$295+93%$163 – $330
Indiana IN24$267+75%$59 – $473
Georgia GA28$215+41%$170 – $321
Texas TX56$209+37%$83 – $276
Colorado CO15$180+18%$96 – $228
Pennsylvania PA53$178+17%$66 – $611
South Carolina SC17$177+16%$51 – $177
Florida FL36$162+6%$82 – $412
Virginia VA22$157+3%$116 – $164
Ohio OH36$155+1%$122 – $385
New York NY62$1530%$70 – $340
Michigan MI32$149−2%$87 – $282
New Jersey NJ18$143−6%$78 – $169
Illinois IL34$126−18%$37 – $378
Washington WA13$114−25%$64 – $198
Minnesota MN27$114−26%$97 – $158
Wisconsin WI42$102−33%$87 – $178
Mississippi MS13$90−41%$80 – $130
Louisiana LA25$84−45%$35 – $137
Missouri MO15$78−49%$30 – $139
West Virginia WV17$73−52%$23 – $159
Tennessee TN20$55−64%$35 – $66
Iowa IA17$52−66%$52 – $147
Oklahoma OK16$34−78%$34 – $44
Oregon OR10$30−80%$30 – $98
North Carolina NC9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not 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 $153.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care706$159$62 – $323
Children’s35$247$101 – $350
Critical access134$106$54 – $256
Ownership
For-profit60$192$59 – $321
Government120$123$62 – $212
Non-profit695$158$60 – $330
System affiliation
Part of a system736$155$65 – $324
Independent141$134$57 – $304

Cash price vs list price

Median list price (chargemaster)$284
Median cash price$153
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

614 hospitals filed a usable inpatient cash price for this code. The median is $164 and the average of the middle 60% is $182; most fall between $67 and $330.

Cash price percentiles, inpatient, across 614 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
$44$84$164$295$464

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($44 vs $464).

Of the 643 hospitals that filed this code inpatient, 614 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

877 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 921 hospitals that filed this code at all gave us
Usable cash price — counted877
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
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 code921

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 PR Fundal Photography.

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, “Photographs of the back of the eye (CPT 92250) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92250-photographs-of-the-back-of-the-eye