Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye
Medicare pricing data for 284 providers across 23 states
Prices vary significantly by location — from $45 in Utah to $230 in New York. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye (HCPCS code 92240) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $188.77, but hospitals typically charge $571.70 — a 3.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $188.77, your out-of-pocket cost would be approximately $37.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $144.81 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $230 | $480 | 31 | 549 | +21.8% |
| New Jersey | $223 | $570 | 12 | 299 | +18.0% |
| Virginia | $217 | $403 | 5 | 17 | +14.7% |
| Hawaii | $212 | $372 | 2 | 57 | +12.4% |
| Connecticut | $208 | $660 | 3 | 22 | +10.0% |
| Illinois | $202 | $672 | 6 | 108 | +7.0% |
| Maryland | $200 | $374 | 15 | 38 | +6.2% |
| Indiana | $189 | $232 | 5 | 120 | -0.1% |
| Washington | $187 | $497 | 9 | 35 | -1.0% |
| Oregon | $186 | $537 | 6 | 42 | -1.6% |
| Florida | $185 | $595 | 35 | 374 | -2.2% |
| Texas | $184 | $579 | 26 | 4,306 | -2.5% |
| Pennsylvania | $182 | $432 | 9 | 342 | -3.4% |
| Arizona | $182 | $501 | 5 | 50 | -3.6% |
| North Carolina | $175 | $578 | 10 | 66 | -7.1% |
| Louisiana | $174 | $805 | 7 | 456 | -7.7% |
| California | $172 | $831 | 35 | 81 | -9.0% |
| Ohio | $168 | $647 | 7 | 18 | -10.8% |
| Oklahoma | $167 | $429 | 4 | 19 | -11.7% |
| Mississippi | $165 | $375 | 1 | 13 | -12.7% |
| Michigan | $144 | $392 | 15 | 24 | -23.5% |
| Massachusetts | $51 | $195 | 15 | 43 | -73.1% |
| Utah | $45 | $176 | 9 | 23 | -75.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber