Extended exam of the back part of the eye with optic nerve drawing
Medicare pricing data for 4,380 providers across 49 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
Extended exam of the back part of the eye with optic nerve drawing (HCPCS code 92202) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.25, but hospitals typically charge $77.51 — a 4.8x 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 $16.25, your out-of-pocket cost would be approximately $3.25. 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 4.8x more than what Medicare allows for this procedure. Medicare actually pays $12.08 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $17 | $115 | 5 | 1,947 | +7.0% |
| New York | $17 | $94 | 973 | 129,009 | +6.9% |
| Maryland | $17 | $109 | 97 | 51,576 | +4.5% |
| New Jersey | $17 | $91 | 360 | 59,501 | +4.4% |
| California | $17 | $88 | 476 | 72,973 | +3.1% |
| Colorado | $16 | $88 | 29 | 4,105 | +1.4% |
| Connecticut | $16 | $71 | 77 | 11,835 | +1.1% |
| Massachusetts | $16 | $87 | 115 | 11,354 | +0.6% |
| Washington | $16 | $57 | 56 | 8,479 | -0.2% |
| Virginia | $16 | $88 | 92 | 38,036 | -0.3% |
| Hawaii | $16 | $107 | 26 | 7,735 | -0.4% |
| Rhode Island | $16 | $52 | 13 | 1,785 | -1.6% |
| Pennsylvania | $16 | $74 | 151 | 8,392 | -2.3% |
| New Hampshire | $16 | $41 | 31 | 578 | -3.4% |
| Illinois | $16 | $51 | 170 | 34,373 | -3.5% |
| Kansas | $16 | $44 | 11 | 724 | -3.8% |
| Nevada | $16 | $75 | 13 | 2,968 | -3.9% |
| Minnesota | $16 | $78 | 15 | 919 | -4.0% |
| Montana | $16 | $80 | 9 | 999 | -4.1% |
| Florida | $15 | $52 | 377 | 67,887 | -4.9% |
| Tennessee | $15 | $83 | 35 | 5,100 | -5.0% |
| Oregon | $15 | $51 | 21 | 462 | -5.2% |
| West Virginia | $15 | $45 | 5 | 323 | -5.2% |
| Delaware | $15 | $31 | 7 | 1,165 | -5.7% |
| Puerto Rico | $15 | $18 | 119 | 3,643 | -5.7% |
| Wyoming | $15 | $21 | 6 | 605 | -5.8% |
| Texas | $15 | $58 | 218 | 37,832 | -6.2% |
| Arizona | $15 | $38 | 60 | 8,345 | -6.3% |
| Maine | $15 | $56 | 5 | 372 | -6.6% |
| Vermont | $15 | $74 | 6 | 379 | -7.0% |
| Missouri | $15 | $58 | 89 | 21,112 | -7.0% |
| Michigan | $15 | $71 | 110 | 10,196 | -7.1% |
| North Carolina | $15 | $73 | 83 | 8,730 | -7.2% |
| Kentucky | $15 | $103 | 34 | 1,872 | -7.3% |
| Ohio | $15 | $58 | 98 | 10,765 | -7.8% |
| Georgia | $15 | $47 | 27 | 1,774 | -8.3% |
| Utah | $15 | $68 | 21 | 3,270 | -8.5% |
| South Carolina | $15 | $51 | 25 | 882 | -8.7% |
| Indiana | $15 | $31 | 76 | 11,713 | -8.9% |
| New Mexico | $15 | $48 | 12 | 4,218 | -9.0% |
| Iowa | $15 | $42 | 20 | 432 | -9.4% |
| Louisiana | $15 | $66 | 55 | 4,942 | -9.6% |
| Idaho | $15 | $54 | 7 | 926 | -9.7% |
| Alabama | $15 | $28 | 16 | 1,427 | -10.3% |
| Wisconsin | $15 | $103 | 46 | 2,892 | -10.5% |
| Oklahoma | $15 | $33 | 22 | 4,331 | -10.6% |
| Arkansas | $14 | $51 | 27 | 3,915 | -11.1% |
| Nebraska | $14 | $44 | 7 | 87 | -11.4% |
| Mississippi | $14 | $140 | 13 | 1,237 | -12.4% |
⚠️ 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