Ophth medical xm&eval intermediate estab pt (CPT 92012)
92012 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
175 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Ochsner Lafayette General Medical Center | Lafayette, LA | $19.47 | $59 | $120.55 | 0.2× |
| East Jefferson General Hospital | Metairie, LA | $24.08 | $172 | $124.97 | 0.2× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $25.30 | $115 | $124.97 | 0.2× |
| University of Kansas Hospital | Kansas City, KS | $33.60 | $168 | $124.30 | 0.3× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $33.60 | $168 | $126.05 | 0.3× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $33.60 | $168 | $127.17 | 0.3× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $34.06 | $61.92 | $133.35 | 0.3× |
| Memorial Hospital | Aurora, NE | $34.56 | $36 | $138.25 | 0.2× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $35.20 | $110 | $120.55 | 0.3× |
| Arkansas Children's Northwest | Springdale, AR | $39.15 | $43.50 | $124.26 | 0.3× |
| Arkansas Children's Hospital | Little Rock, AR | $39.60 | $44 | $125.09 | 0.3× |
| Ochsner Rush Medical Center | Meridian, MS | $40.95 | $117 | $117.57 | 0.3× |
| North Sunflower Medical Center | Ruleville, MS | $42.50 | $85 | $114.78 | 0.4× |
| UAB Medical West | Bessemer, AL | $43.50 | $58 | $121.78 | 0.4× |
| Touro | New Orleans, LA | $46.34 | $331 | $124.97 | 0.4× |
| Harris Health | Houston, TX | $48.74 | $80 | $133.74 | 0.4× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $50 | $168 | $133.74 | 0.4× |
| Tampa General Hospital | Tampa, FL | $51.10 | $146 | $139.03 | 0.4× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $52 | $80 | $127.21 | 0.4× |
| Prisma Health Richland Hospital | Columbia, SC | $52 | $80 | $128.36 | 0.4× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $52 | $80 | $126.85 | 0.4× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $52 | $80 | $128.69 | 0.4× |
| Doctors Memorial Hospital | Bonifay, FL | $53.10 | $118 | $139.03 | 0.4× |
| MUSC Health Black River Medical Center | Cades, SC | $53.50 | $107 | $123.83 | 0.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $114.74 | 0.5× |
| Hancock County Hospital | Sneedville, TN | $57.04 | $248 | $120.79 | 0.5× |
| Memorial Medical Center | Port Lavaca, TX | $57.58 | $82.25 | $133.74 | 0.4× |
| Bristol Regional Medical Center | Bristol, TN | $58.35 | $389 | $126.30 | 0.5× |
| Holston Valley Medical Center | Kingsport, TN | $58.35 | $389 | $126.30 | 0.5× |
| Hawkins County Memorial Hospital | Rogersville, TN | $58.35 | $389 | $120.79 | 0.5× |
| Greeneville Community Hospital | Greeneville, TN | $58.35 | $389 | $124.24 | 0.5× |
| Mercy Hospital Joplin | Joplin, MO | $59.80 | $92 | $133.35 | 0.4× |
| Mercy Hospital Springfield | Springfield, MO | $59.80 | $92 | $133.35 | 0.4× |
| Covenant Hospital Plainview | Plainview, TX | $59.85 | $142.50 | $133.74 | 0.4× |
| New Orleans East Hospital | New Orleans, LA | $61.92 | $387 | $124.97 | 0.5× |
| East Carroll Parish Hospital | Lake Providence, LA | $63.75 | $85 | $121.22 | 0.5× |
| West Jefferson Medical Center | Marrero, LA | $64.16 | $401 | $124.97 | 0.5× |
| Ellett Memorial Hospital | Appleton City, MO | $64.50 | $86 | $133.35 | 0.5× |
| Northwest Texas Hospital | Amarillo, TX | $64.80 | $162 | $133.74 | 0.5× |
| Eastland Memorial Hospital | Eastland, TX | $67 | $134 | $133.74 | 0.5× |
| JPS Health Network | Fort Worth, TX | $68.40 | $114 | $133.74 | 0.5× |
| Ochsner Laird Hospital | Union, MS | $71.37 | $117 | $114.78 | 0.6× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $71.99 | $313 | $120.55 | 0.6× |
| Ochsner Scott Regional | Morton, MS | $73.71 | $117 | $120.20 | 0.6× |
| MUSC Health University Medical Center | Charleston, SC | $74 | $148 | $123.83 | 0.6× |
| Ochsner St. Anne Hospital | Raceland, LA | $76.56 | $174 | $120.55 | 0.6× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $77.50 | $155 | $120.55 | 0.6× |
| Our Lady of the Angels Hospital | Bogalusa, LA | $77.50 | $155 | $120.72 | 0.6× |
| Ochsner Watkins Hospital | Quitman, MS | $78.39 | $117 | $114.78 | 0.7× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $80.62 | $278 | $127.13 | 0.6× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $80.62 | $278 | $126.39 | 0.6× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $80.62 | $278 | $127.73 | 0.6× |
| Ochsner Stennis Hospital | De Kalb, MS | $80.73 | $117 | $114.78 | 0.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $83.46 | $321 | $120.55 | 0.7× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $85.14 | $425.70 | $133.74 | 0.6× |
| University Medical Center New Orleans | New Orleans, LA | $85.14 | $387 | $120.55 | 0.7× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $86.50 | $173 | $120.55 | 0.7× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $87.64 | $313 | $120.55 | 0.7× |
| Ochsner Choctaw General | Butler, AL | $88.92 | $117 | $114.74 | 0.8× |
| Lawrence + Memorial Hospital | New London, CT | $89.35 | $248.19 | $159.61 | 0.6× |
| West Feliciana Hospital | St. Francisville, LA | $89.40 | $149 | $120.55 | 0.7× |
| Manning Family Children's | New Orleans, LA | $89.91 | $333 | $124.97 | 0.7× |
| Lallie Kemp Regional Medical Center | Independence, LA | $94.29 | $157.15 | $120.55 | 0.8× |
| Parkland Memorial Hospital | Dallas, TX | $94.40 | $236 | $133.74 | 0.7× |
| University Health Truman Medical Center | Kansas City, MO | $94.64 | $172.08 | $133.35 | 0.7× |
| University Health Lakewood Medical Center | Kansas City, MO | $94.64 | $172.08 | $133.35 | 0.7× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $97.03 | $313 | $128.45 | 0.8× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $97.90 | $489.50 | $133.74 | 0.7× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $98.28 | $378 | $125.64 | 0.8× |
| Denver Health Medical Center | Denver, CO | $98.48 | $281.35 | $140.44 | 0.7× |
| SCK Health | Arkansas City, KS | $102.72 | $102.72 | $122.44 | 0.8× |
| Citizens Memorial Hospital | Bolivar, MO | $103.20 | $129 | $133.35 | 0.8× |
| Pikeville Medical Center | Pikeville, KY | $103.80 | $346 | $124.92 | 0.8× |
| University Hospital | Columbia, MO | $104.40 | $174 | $133.35 | 0.8× |
| UAMS Medical Center | Little Rock, AR | $108.60 | $181 | $125.09 | 0.9× |
| Great Plains Health | North Platte, NE | $116 | $257 | $138.25 | 0.8× |
| University Hospital – UMMC | Jackson, MS | $116 | $290 | $120.20 | 1.0× |
| UMMC Madison | Canton, MS | $116 | $290 | $120.20 | 1.0× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $120.98 | $263 | $131.01 | 0.9× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $120.98 | $263 | $116.67 | 1.0× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $120.98 | $263 | $133.54 | 0.9× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $120.98 | $263 | $138.14 | 0.9× |
| Jackson Healthcare Center | Edna, TX | $123 | $154 | $133.74 | 0.9× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $126.10 | $194 | $142.07 | 0.9× |
| T.J. Health Columbia | Columbia, KY | $128.05 | $197 | $124.92 | 1.0× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $128.98 | $214.97 | $128.05 | 1.0× |
| North Mississippi Medical Center-Hamilton | Hamilton, AL | $129 | $300 | $119.41 | 1.1× |
| North Mississippi Medical Center-Iuka | Iuka, MS | $129 | $332 | $120.58 | 1.1× |
| North Mississippi Medical Center-Tupelo | Tupelo, MS | $129 | $332 | $120.12 | 1.1× |
| North Mississippi Medical Center-Eupora | Eupora, MS | $129 | $332 | $118.24 | 1.1× |
| Bridgeport Hospital | Bridgeport, CT | $129.06 | $248.19 | $159.61 | 0.8× |
| Greenwich Hospital | Greenwich, CT | $129.06 | $248.19 | $159.61 | 0.8× |
| Lakeside Medical Center | Belle Glade, FL | $129.36 | — | $139.03 | 0.9× |
| Nebraska Medical Center | Omaha, NE | $130 | $200 | $138.25 | 0.9× |
| Bellevue Medical Center | Bellevue, NE | $130 | $200 | $138.25 | 0.9× |
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $131.67 | $399 | $133.74 | 1.0× |
| Dignity Health, Yavapai Regional Medical Center West | Prescott, AZ | $132.08 | $178 | $142.07 | 0.9× |
| Golden Valley Memorial Healthcare | Clinton, MO | $132.77 | $221.28 | $133.35 | 1.0× |
| Hartford Hospital | Hartford, CT | $135 | $135 | $159.61 | 0.8× |
| DeSoto Regional Health System | Mansfield, LA | $136.50 | $195 | $120.55 | 1.1× |
| Memorial Hospital | Dumas, TX | $138.40 | $173 | $133.74 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $141.50 | — | $120.91 | 1.2× |
| Children's Hospital Colorado | Aurora, CO | $142.35 | $219 | $140.44 | 1.0× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $142.35 | $219 | $140.44 | 1.0× |
| North Mississippi Medical Center Gilmore-Amory | Amory, MS | $142.76 | $332 | $114.78 | 1.2× |
| North Mississippi Medical Center-Pontotoc | Pontotoc, MS | $142.76 | $332 | $114.78 | 1.2× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $146 | $292 | $127.25 | 1.1× |
| Yale New Haven Hospital | New Haven, CT | $146.43 | $248.19 | $159.61 | 0.9× |
| Friend Community Healthcare System | Friend, NE | $146.45 | $244.09 | $138.25 | 1.1× |
| Vanderbilt University Hospital | Nashville, TN | $150.12 | $278 | $130.69 | 1.1× |
| Griffin Hospital | Derby, CT | $154.06 | — | $159.61 | 1.0× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $161.46 | $414 | $131.01 | 1.2× |
| Wellstar Spalding Medical Center | Griffin, GA | $161.46 | $414 | $133.54 | 1.2× |
| Wellstar MCG Health Medical Center | Augusta, GA | $161.46 | $414 | $116.67 | 1.4× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $161.46 | $414 | $135.23 | 1.2× |
| Wellstar Paulding Medical Center | Hiram, GA | $161.46 | $414 | $135.23 | 1.2× |
| Wellstar Cobb Medical Center | Austell, GA | $161.46 | $414 | $135.23 | 1.2× |
| Wellstar Douglas Medical Center | Douglasville, GA | $161.46 | $414 | $134.01 | 1.2× |
| Wellstar North Fulton Medical Center | Roswell, GA | $161.46 | $414 | $135.23 | 1.2× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $161.46 | $414 | $133.54 | 1.2× |
| Freeman Hospital West | Joplin, MO | $161.70 | $269.50 | $133.35 | 1.2× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $163 | $163 | $133.74 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $163.38 | $250 | $142.07 | 1.1× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $163.80 | $273 | $123.60 | 1.3× |
| St. Anthony Summit Medical Center | Frisco, CO | $165.42 | $413.54 | $140.44 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $166.47 | — | $127.73 | 1.3× |
| AnMed Cannon | Pickens, SC | $166.50 | $333 | $127.21 | 1.3× |
| AnMed Medical Center | Anderson, SC | $166.50 | $333 | $123.83 | 1.3× |
| Nashville General Hospital | Nashville, TN | $168 | $280 | $127.73 | 1.3× |
| Titus Regional Medical Center | Mount Pleasant, TX | $173.40 | $289 | $133.74 | 1.3× |
| Children's National Hospital | Washington, DC | $175.50 | $351 | $157.28 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $176.13 | — | $123.83 | 1.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $176.13 | — | $123.83 | 1.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $176.13 | — | $123.83 | 1.4× |
| Larkin Community Hospital | South Miami, FL | $180.60 | $258 | $139.03 | 1.3× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Scott & White Hospital-round Rock | Round Rock, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $181.69 | $302.82 | $133.74 | 1.4× |
| Memorial Hospital | Seward, NE | $184 | $184 | $138.25 | 1.3× |
| Callaway District Hospital | Callaway, NE | $198 | $220 | $138.25 | 1.4× |
| Tippah County Hospital | Ripley, MS | $198 | $198 | $114.78 | 1.7× |
| Gunnison Valley Hospital | Gunnison, CO | $207.40 | $244 | $140.44 | 1.5× |
| Haskell Regional Hospital, Inc | Stigler, OK | $209.80 | $209.80 | $128.05 | 1.6× |
| Saint Francis Medical Center | Cape Girardeau, MO | $219 | $219 | $133.35 | 1.6× |
| St. John's Medical Center | Jackson, WY | $220 | $220 | $136.02 | 1.6× |
| Goodland Regional Medical Center | Goodland, KS | $229.50 | $255 | $122.44 | 1.9× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $235.20 | $336 | $139.03 | 1.7× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $246 | $410 | $133.74 | 1.8× |
| MedStar Washington Hospital Center | Washington, DC | $247.36 | $380.55 | $157.28 | 1.6× |
| Mangum Regional Medical Center | Mangum, OK | $255.86 | $533.05 | $128.05 | 2.0× |
| North Oaks Medical Center | Hammond, LA | $258.03 | $821 | $121.73 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $262.74 | — | $128.05 | 2.1× |
| Estes Park Medical Center | Estes Park, CO | $277.50 | $370 | $140.44 | 2.0× |
| Izard Regional Hospital | Calico Rock, AR | $293.75 | $293.75 | $121.22 | 2.4× |
| Rapides Regional Medical Center | Alexandria, LA | $317.44 | $317.44 | $125.64 | 2.5× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $377.03 | $377.03 | $133.74 | 2.8× |
| Northwest Surgical Hospital | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Mayo Clinic Hospital — Phoenix | Phoenix, AZ | $405 | $540 | $142.07 | 2.9× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $481.65 | $741 | $139.03 | 3.5× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $481.65 | $741 | $139.03 | 3.5× |
| Cleveland Clinic Hospital | Weston, FL | $481.65 | $741 | $139.03 | 3.5× |
| Grady Memorial Hospital | Atlanta, GA | $500 | $500 | $135.23 | 3.7× |
| CHRISTUS Southeast Texas- St. Elizabeth | Beaumont, TX | $1,046.76 | $3,172 | $133.74 | 7.8× |
| Ephraim McDowell Regional Medical Center | Danville, KY | — | $98.85 | $128.88 | — |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $98.85 | $124.92 | — |
| National Park Medical Center | Hot Springs, AR | — | $246.79 | $127.33 | — |
| St. Jude Children's Research Hospital | Memphis, TN | — | $449 | $123.35 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.