Price Checker / CPT 92012
How much does Intrm Oph Exam Est Patient cost?
CPT 92012 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 20x the fair price — among the most extreme markups. Dispute this.
Fair price
$440–$520
What this should cost
With insurance
~$323,700
Typical out-of-pocket
Overcharged if over
$650
Push back above this
The average hospital charge of $9,345 is $8,865 over the fair price (about 20x the fair rate).
What hospitals charge for Intrm Oph Exam Est Patient
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "Cohen Children's Medical Center" , NY | — | $4,673 | 10224% |
| Glen Cove Hospital , NY | — | $4,673 | 10224% |
| Huntington Hospital PASADENA, NY | — | $4,673 | 10224% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $4,673 | 10224% |
| Mather Hospital , NY | — | $4,673 | 10224% |
| Plainview Hospital PLAINVIEW, NY | — | $4,673 | 10224% |
| South Shore University Hospital , NY | — | $4,673 | 10224% |
| Zucker Hillside Hospital , NY | — | $4,673 | 10224% |
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 Intrm Oph Exam Est Patient
CPT code 92012 refers to intrm oph exam est patient (billing description: "Intrm oph exam est patient"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $41 in a facility (hospital or surgery center) and $91 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.