Exam of retinal blood vessels using a special camera after injection of a dye
Medicare pricing data for 4,241 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
Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS code 92235) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $137.65, but hospitals typically charge $294.39 — a 2.1x 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 $137.65, your out-of-pocket cost would be approximately $27.53. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $104.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $155 | $273 | 119 | 9,976 | +12.8% |
| New York | $154 | $370 | 350 | 22,587 | +12.2% |
| California | $153 | $298 | 510 | 41,516 | +10.8% |
| District of Columbia | $152 | $304 | 9 | 99 | +10.5% |
| Connecticut | $149 | $314 | 58 | 4,250 | +8.5% |
| Hawaii | $148 | $319 | 26 | 1,375 | +7.2% |
| Maryland | $146 | $370 | 142 | 16,171 | +6.1% |
| Virginia | $140 | $268 | 85 | 3,388 | +1.9% |
| Colorado | $139 | $313 | 79 | 5,514 | +0.7% |
| Montana | $138 | $233 | 8 | 106 | +0.2% |
| Wyoming | $137 | $163 | 2 | 68 | -0.7% |
| Rhode Island | $135 | $329 | 17 | 415 | -1.6% |
| Puerto Rico | $135 | $141 | 26 | 135 | -1.8% |
| Washington | $135 | $258 | 106 | 4,368 | -2.0% |
| South Dakota | $134 | $319 | 9 | 296 | -2.4% |
| Minnesota | $133 | $411 | 72 | 2,622 | -3.0% |
| Texas | $133 | $318 | 274 | 32,994 | -3.1% |
| Arizona | $133 | $237 | 58 | 6,000 | -3.1% |
| Illinois | $133 | $231 | 203 | 7,630 | -3.3% |
| Florida | $132 | $234 | 323 | 22,412 | -3.9% |
| Oregon | $130 | $319 | 70 | 3,847 | -5.3% |
| Nevada | $130 | $294 | 27 | 821 | -5.9% |
| North Dakota | $130 | $171 | 6 | 120 | -5.9% |
| Massachusetts | $130 | $333 | 152 | 2,680 | -5.9% |
| Pennsylvania | $129 | $321 | 166 | 7,717 | -6.1% |
| North Carolina | $129 | $276 | 114 | 6,138 | -6.3% |
| South Carolina | $128 | $250 | 41 | 3,000 | -6.8% |
| Georgia | $128 | $306 | 73 | 2,186 | -7.0% |
| Indiana | $128 | $251 | 50 | 5,731 | -7.0% |
| Michigan | $128 | $247 | 192 | 7,992 | -7.1% |
| Kentucky | $126 | $231 | 44 | 1,149 | -8.2% |
| New Mexico | $126 | $196 | 14 | 178 | -8.3% |
| Vermont | $125 | $352 | 11 | 842 | -8.9% |
| Nebraska | $125 | $278 | 24 | 1,314 | -9.0% |
| Missouri | $125 | $243 | 66 | 2,924 | -9.1% |
| Kansas | $124 | $205 | 32 | 3,802 | -9.7% |
| Tennessee | $124 | $353 | 80 | 2,776 | -9.8% |
| Idaho | $124 | $171 | 14 | 611 | -10.0% |
| Oklahoma | $124 | $174 | 35 | 3,736 | -10.0% |
| Alabama | $121 | $270 | 32 | 1,568 | -11.8% |
| Maine | $121 | $234 | 18 | 847 | -11.9% |
| Mississippi | $119 | $202 | 26 | 2,264 | -13.9% |
| Utah | $118 | $200 | 50 | 1,089 | -14.0% |
| Iowa | $118 | $234 | 37 | 694 | -14.6% |
| Ohio | $117 | $328 | 145 | 3,474 | -14.7% |
| Arkansas | $116 | $245 | 31 | 1,006 | -15.5% |
| West Virginia | $116 | $210 | 11 | 710 | -15.9% |
| Louisiana | $114 | $279 | 76 | 5,936 | -17.5% |
| New Hampshire | $103 | $198 | 16 | 113 | -25.3% |
| Wisconsin | $97 | $401 | 71 | 1,940 | -29.6% |
⚠️ 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