Imaging of front third of eye using a special microscope
Medicare pricing data for 3,192 providers across 50 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
Imaging of front third of eye using a special microscope (HCPCS code 92286) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.80, but hospitals typically charge $165.78 — a 4.3x 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 $38.80, your out-of-pocket cost would be approximately $7.76. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $28.92 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $46 | $273 | 4 | 27 | +18.2% |
| District of Columbia | $43 | $176 | 10 | 349 | +11.2% |
| Maryland | $43 | $163 | 76 | 2,531 | +10.5% |
| New York | $42 | $182 | 485 | 29,267 | +9.4% |
| New Jersey | $42 | $173 | 148 | 5,658 | +7.8% |
| Connecticut | $41 | $233 | 31 | 406 | +6.9% |
| California | $41 | $175 | 249 | 7,756 | +6.4% |
| Hawaii | $41 | $216 | 17 | 1,256 | +4.8% |
| Delaware | $39 | $190 | 15 | 638 | +1.3% |
| Rhode Island | $39 | $135 | 7 | 74 | +0.7% |
| Nevada | $39 | $108 | 11 | 85 | +0.1% |
| North Dakota | $38 | $170 | 12 | 83 | -0.9% |
| Oregon | $38 | $214 | 24 | 395 | -1.5% |
| Virginia | $38 | $162 | 42 | 590 | -2.0% |
| Illinois | $38 | $214 | 89 | 1,574 | -2.0% |
| Montana | $38 | $65 | 6 | 76 | -2.3% |
| Florida | $38 | $147 | 305 | 10,601 | -2.7% |
| Washington | $38 | $122 | 44 | 669 | -2.8% |
| Pennsylvania | $38 | $147 | 146 | 2,992 | -2.8% |
| Minnesota | $38 | $151 | 58 | 1,060 | -3.3% |
| Michigan | $37 | $146 | 76 | 1,272 | -3.6% |
| Texas | $37 | $161 | 316 | 7,346 | -4.3% |
| South Dakota | $37 | $169 | 19 | 347 | -4.7% |
| Colorado | $37 | $138 | 35 | 315 | -5.8% |
| Massachusetts | $36 | $194 | 104 | 2,161 | -6.1% |
| South Carolina | $36 | $143 | 37 | 686 | -6.5% |
| New Hampshire | $36 | $125 | 6 | 182 | -6.5% |
| Missouri | $36 | $119 | 82 | 1,715 | -6.5% |
| Puerto Rico | $36 | $76 | 12 | 299 | -6.5% |
| Maine | $36 | $138 | 1 | 19 | -6.6% |
| Indiana | $36 | $104 | 49 | 2,269 | -7.0% |
| Nebraska | $36 | $173 | 24 | 499 | -7.1% |
| New Mexico | $36 | $63 | 8 | 46 | -7.1% |
| Idaho | $36 | $143 | 10 | 208 | -7.5% |
| Georgia | $36 | $189 | 64 | 1,071 | -7.6% |
| Kentucky | $36 | $140 | 30 | 179 | -7.7% |
| Kansas | $36 | $141 | 38 | 1,630 | -7.8% |
| Utah | $35 | $127 | 21 | 210 | -8.6% |
| Louisiana | $35 | $102 | 33 | 352 | -8.7% |
| West Virginia | $35 | $109 | 3 | 68 | -9.3% |
| Oklahoma | $35 | $96 | 43 | 910 | -9.4% |
| Tennessee | $35 | $179 | 76 | 2,078 | -9.5% |
| Alabama | $35 | $229 | 25 | 1,469 | -10.7% |
| Wisconsin | $34 | $281 | 28 | 224 | -12.3% |
| Mississippi | $34 | $180 | 25 | 632 | -12.8% |
| Iowa | $32 | $121 | 33 | 1,334 | -17.8% |
| Ohio | $31 | $222 | 57 | 1,054 | -19.7% |
| North Carolina | $31 | $117 | 58 | 2,855 | -20.2% |
| Arkansas | $25 | $121 | 17 | 692 | -35.4% |
| Arizona | $25 | $129 | 59 | 1,549 | -36.5% |
⚠️ 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