Price Checker / CPT 66990
How much does Ophthalmic Endoscope Add-on cost?
CPT 66990 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 87x the fair price — among the most extreme markups. Dispute this.
Fair price
$110–$210
What this should cost
With insurance
~$2,500
Typical out-of-pocket
Overcharged if over
$260
Push back above this
The average hospital charge of $13,932 is $13,772 over the fair price (about 87x the fair rate).
What hospitals charge for Ophthalmic Endoscope Add-on
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UCSF Health Saint Francis Hospital SAN FRANCISCO, CA | — | — | 30350% |
| CHRISTUS St. Vincent Regional Medical Center SANTA FE, NM | — | — | 30295% |
| UPMC Memorial YORK, PA | — | — | 12853% |
| UPMC Mercy PITTSBURGH, PA | — | — | 5171% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Ophthalmic Endoscope Add-on
CPT code 66990 refers to ophthalmic endoscope add-on (billing description: "Ophthalmic endoscope add-on"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $70 in a facility (hospital or surgery center) and $70 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.