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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Unlisted eye service or procedure

CPT 92499the billing code this page is about

Used for an eye-related service or procedure that has no specific billing code of its own; the report describes what was actually done.

Hospitals typically charge $58 cash for this outpatient procedure — the median across 208 hospitals that filed a usable cash price; the average of the middle 60% is $74. Most fall between $29 and $166 (20th–80th percentile).

Hospitals
208
States
36
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 208 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
$22$32$58$125$214

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($22 vs $214).

How the prices are spread

$13 – $18: 7 hospitals$13$18 – $25: 6 hospitals$25 – $34: 32 hospitals$25$34 – $47: 34 hospitals$47 – $64: 18 hospitals$47$64 – $88: 16 hospitals$88 – $121: 27 hospitals$88$121 – $167: 17 hospitals$167 – $230: 23 hospitals$167$230 – $317: 11 hospitals$230median $58price bands are equal on a log scale
Hospitals per price band (191 of 208 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$187
$18$256
$25$3432
$34$4734
$47$6418
$64$8816
$88$12127
$121$16717
$167$23023
$230$31711

Against Medicare

Medicare pays (OPPS 2026, national rate)$30
Median cash price$58
Cash as a multiple of Medicare1.96×

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 $58.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $38 across 12 hospitalsMN$38Illinois: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $58 across 13 hospitalsWI$58Michigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $36 across 27 hospitalsNY$36Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $27 across 12 hospitalsNJ$27Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $120 across 30 hospitalsCA$120Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $214 across 20 hospitalsTX$214Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $58. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX20$214+269%$92 – $214
California CA30$120+108%$120 – $120
Wisconsin WI13$580%$23 – $58
Minnesota MN12$38−35%$29 – $38
New York NY27$36−38%$29 – $123
New Jersey NJ12$27−53%$27 – $37
Massachusetts MA9not enough hospitals filed a usable price
Illinois IL7not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not 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 $58.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care173$74$29 – $150
Children’s5fewer than 20 hospitals
Critical access29$38$23 – $59
Ownership
For-profit11fewer than 20 hospitals
Government35$35$29 – $82
Non-profit161$70$29 – $171
System affiliation
Part of a system168$70$29 – $150
Independent40$50$25 – $169

Cash price vs list price

Median list price (chargemaster)$154
Median cash price$58
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

138 hospitals filed a usable inpatient cash price for this code. The median is $103 and the average of the middle 60% is $115; most fall between $39 and $214.

Cash price percentiles, inpatient, across 138 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
$22$45$103$166$225

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($22 vs $225).

Of the 149 hospitals that filed this code inpatient, 138 gave a usable cash price; 2 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

208 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 231 hospitals that filed this code at all gave us
Usable cash price — counted208
Cash price carrying a plausibility flag — shown on the compare tool, excluded here12
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded10
Hospitals that filed this code231

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 Unlisted Ophthalmological Service/Procedure.

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, “Unlisted eye service or procedure (CPT 92499) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92499-unlisted-eye-service-or-procedure