CPT 92274 Ophthalmology
Multifocal erg w/i&r Cost
Body System: Eye
Medicare Facility Rate
$92
CMS PFS CY2026
Medicare Non-Facility Rate
$92
Office/clinic setting
Hospital Outpatient
$131
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.59
Work RVU
2.15
Facility PE RVU
0.02
Malpractice RVU
2.76
Total RVU
Frequently Asked Questions
How much does Multifocal erg w/i&r cost?
The Medicare facility rate is $92. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $131.
How much does Multifocal erg w/i&r 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 $92.