Photography of content of eyes
Medicare pricing data for 13,037 providers across 52 states
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
Photography of content of eyes (HCPCS code 92285) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.67, but hospitals typically charge $70.49 — a 3.3x 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 $21.67, your out-of-pocket cost would be approximately $4.33. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $15.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $27 | $87 | 30 | 1,005 | +25.9% |
| Alaska | $25 | $127 | 41 | 431 | +15.4% |
| Maryland | $25 | $68 | 290 | 7,947 | +14.9% |
| California | $25 | $71 | 1,237 | 50,474 | +13.6% |
| Hawaii | $24 | $65 | 73 | 2,770 | +12.7% |
| New York | $24 | $89 | 1,059 | 48,613 | +12.2% |
| Connecticut | $24 | $91 | 177 | 3,520 | +11.0% |
| Rhode Island | $23 | $80 | 34 | 562 | +7.7% |
| New Jersey | $23 | $61 | 390 | 16,426 | +7.3% |
| Delaware | $23 | $53 | 24 | 1,183 | +6.8% |
| Nevada | $23 | $78 | 96 | 3,269 | +4.2% |
| Montana | $22 | $53 | 46 | 1,250 | +2.9% |
| Washington | $22 | $74 | 356 | 10,134 | +2.4% |
| Illinois | $22 | $85 | 519 | 18,154 | +1.0% |
| Colorado | $22 | $66 | 201 | 5,435 | +1.0% |
| South Dakota | $22 | $74 | 54 | 1,542 | +0.6% |
| Wyoming | $22 | $59 | 23 | 203 | +0.5% |
| Florida | $22 | $61 | 1,046 | 43,129 | -0.5% |
| Puerto Rico | $21 | $29 | 61 | 735 | -1.5% |
| Arizona | $21 | $55 | 229 | 9,392 | -1.5% |
| Minnesota | $21 | $74 | 241 | 3,857 | -2.3% |
| Pennsylvania | $21 | $76 | 479 | 11,268 | -2.7% |
| Maine | $21 | $72 | 59 | 1,377 | -3.1% |
| Texas | $21 | $76 | 991 | 31,694 | -3.3% |
| New Hampshire | $21 | $73 | 71 | 2,578 | -4.7% |
| North Carolina | $21 | $69 | 397 | 15,827 | -4.8% |
| Georgia | $21 | $71 | 280 | 7,738 | -5.0% |
| Virginia | $21 | $49 | 345 | 12,375 | -5.2% |
| Kansas | $20 | $111 | 123 | 5,537 | -6.2% |
| Oregon | $20 | $63 | 206 | 4,130 | -7.0% |
| Kentucky | $20 | $52 | 130 | 4,395 | -7.6% |
| South Carolina | $20 | $65 | 176 | 5,921 | -8.3% |
| Idaho | $20 | $57 | 80 | 2,027 | -8.4% |
| Tennessee | $20 | $52 | 296 | 13,907 | -8.6% |
| Alabama | $20 | $82 | 191 | 5,752 | -8.9% |
| Oklahoma | $20 | $61 | 219 | 7,852 | -9.3% |
| Ohio | $19 | $58 | 277 | 5,365 | -10.4% |
| Nebraska | $19 | $74 | 97 | 1,452 | -10.4% |
| New Mexico | $19 | $62 | 50 | 478 | -10.5% |
| Missouri | $19 | $59 | 237 | 5,731 | -11.3% |
| Vermont | $19 | $55 | 25 | 331 | -11.9% |
| Massachusetts | $19 | $81 | 384 | 11,293 | -12.4% |
| Louisiana | $19 | $69 | 190 | 7,340 | -13.2% |
| Indiana | $19 | $45 | 199 | 5,087 | -13.3% |
| Mississippi | $19 | $62 | 105 | 2,298 | -13.7% |
| Arkansas | $19 | $56 | 145 | 4,982 | -14.5% |
| Michigan | $18 | $59 | 403 | 9,436 | -15.3% |
| Utah | $18 | $69 | 134 | 4,153 | -15.3% |
| Iowa | $18 | $58 | 205 | 5,301 | -15.9% |
| Wisconsin | $18 | $107 | 211 | 3,277 | -16.7% |
| North Dakota | $18 | $65 | 35 | 374 | -17.8% |
| West Virginia | $14 | $31 | 43 | 648 | -33.7% |
⚠️ 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