Measurement of retinal and optic nerve function
Medicare pricing data for 2,190 providers across 50 states
Prices vary significantly by location — from $65 in West Virginia to $147 in New York. Where you get this procedure matters more than almost any other factor. 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
Measurement of retinal and optic nerve function (HCPCS code 92273) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $125.41, but hospitals typically charge $227.30 — a 1.8x 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 $125.41, your out-of-pocket cost would be approximately $25.08. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $95.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $147 | $322 | 138 | 12,769 | +17.2% |
| Connecticut | $144 | $241 | 31 | 1,138 | +14.7% |
| New Jersey | $143 | $225 | 89 | 5,770 | +14.2% |
| California | $142 | $240 | 163 | 13,407 | +13.4% |
| Hawaii | $138 | $296 | 32 | 3,329 | +10.0% |
| Maryland | $134 | $238 | 25 | 3,240 | +6.8% |
| Massachusetts | $130 | $389 | 29 | 930 | +3.8% |
| Rhode Island | $128 | $153 | 5 | 97 | +2.4% |
| Montana | $128 | $148 | 2 | 21 | +2.2% |
| New Hampshire | $128 | $156 | 6 | 44 | +1.9% |
| Illinois | $127 | $228 | 57 | 4,628 | +1.6% |
| Delaware | $127 | $300 | 2 | 19 | +1.5% |
| Wyoming | $126 | $133 | 13 | 720 | +0.4% |
| Puerto Rico | $126 | $128 | 12 | 233 | +0.2% |
| South Dakota | $125 | $288 | 12 | 588 | +0.0% |
| North Dakota | $125 | $236 | 5 | 61 | -0.5% |
| Nevada | $125 | $313 | 10 | 291 | -0.6% |
| Virginia | $124 | $205 | 58 | 2,218 | -1.3% |
| Arizona | $124 | $219 | 24 | 1,319 | -1.4% |
| Washington | $124 | $186 | 29 | 2,165 | -1.5% |
| Pennsylvania | $123 | $260 | 111 | 5,007 | -1.7% |
| Minnesota | $123 | $268 | 40 | 428 | -1.7% |
| Colorado | $123 | $198 | 18 | 712 | -1.8% |
| Michigan | $122 | $245 | 66 | 2,957 | -3.1% |
| Florida | $121 | $231 | 128 | 12,271 | -3.8% |
| Texas | $120 | $230 | 237 | 9,499 | -4.5% |
| Wisconsin | $119 | $173 | 51 | 614 | -4.9% |
| Oregon | $118 | $227 | 39 | 1,277 | -5.6% |
| Utah | $118 | $245 | 14 | 1,041 | -5.8% |
| Vermont | $118 | $169 | 4 | 63 | -6.2% |
| Maine | $118 | $167 | 5 | 114 | -6.2% |
| North Carolina | $117 | $217 | 76 | 4,400 | -6.3% |
| Nebraska | $117 | $179 | 4 | 73 | -6.9% |
| Kansas | $117 | $168 | 11 | 479 | -7.0% |
| South Carolina | $116 | $304 | 17 | 660 | -7.2% |
| Ohio | $116 | $180 | 60 | 5,958 | -7.6% |
| Iowa | $116 | $264 | 27 | 729 | -7.7% |
| Louisiana | $116 | $232 | 36 | 993 | -7.7% |
| Idaho | $115 | $190 | 18 | 1,179 | -8.0% |
| Tennessee | $115 | $153 | 77 | 2,921 | -8.2% |
| New Mexico | $115 | $175 | 9 | 104 | -8.2% |
| Missouri | $115 | $182 | 55 | 1,713 | -8.6% |
| Kentucky | $114 | $136 | 30 | 2,335 | -9.0% |
| Oklahoma | $114 | $158 | 47 | 1,398 | -9.1% |
| Georgia | $114 | $170 | 42 | 1,415 | -9.1% |
| Alabama | $114 | $160 | 73 | 2,842 | -9.4% |
| Mississippi | $110 | $181 | 42 | 2,603 | -12.3% |
| Indiana | $109 | $159 | 32 | 536 | -13.2% |
| Arkansas | $103 | $200 | 34 | 1,894 | -17.9% |
| West Virginia | $65 | $73 | 18 | 2,805 | -48.2% |
⚠️ 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