CPT 92228 Ophthalmology
Img rta detc/mntr ds phy/qhp Cost
Body System: Eye
Medicare Facility Rate
$30
CMS PFS CY2026
Medicare Non-Facility Rate
$30
Office/clinic setting
Hospital Outpatient
$38
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.31
Work RVU
0.58
Facility PE RVU
0.02
Malpractice RVU
0.91
Total RVU
Frequently Asked Questions
How much does Img rta detc/mntr ds phy/qhp cost?
The Medicare facility rate is $30. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $38.
How much does Img rta detc/mntr ds phy/qhp 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 $30.