CPT 92014 Ophthalmology
Compre oph exam est pt 1/> Cost
Body System: Eye
Medicare Facility Rate
$62
CMS PFS CY2026
Medicare Non-Facility Rate
$127
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.42
Work RVU
0.40
Facility PE RVU
0.04
Malpractice RVU
3.81
Total RVU
Frequently Asked Questions
How much does Compre oph exam est pt 1/> cost?
The Medicare facility rate is $62. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Compre oph exam est pt 1/> cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $62.