Every billing code / CPT 92201 / Yakima Valley Memorial
CPT 92201 at Yakima Valley Memorial
Ophthalmological E&M
Yakima Valley Memorial, Yakima
This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.
What Yakima Valley Memorial publishes for this code: as an outpatient
Yakima Valley Memorial’s prices for CPT 92201, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $85.75 – $20419 plans | — |
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| Medicare AdvantageInsurer rates | $69.00 – $77.288 plans | — |
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| Medicaid managed careInsurer rates | $38.86 – $45.155 plans | — |
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| Cash pricePaying yourself, without insurance | $70.00 | — |
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| List priceBefore any discount; few people pay it | $175 | — |
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Lowest and highest amounts Yakima Valley Memorial lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
What Yakima Valley Memorial publishes for this code: during a hospital stay
Yakima Valley Memorial’s prices for CPT 92201, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $98.001 plan | — |
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| Cash pricePaying yourself, without insurance | $70.00 | — |
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| List priceBefore any discount; few people pay it | $175 | — |
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Lowest and highest amounts Yakima Valley Memorial lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for CPT 92201 at Yakima Valley Memorial| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
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| Doctor's visitThe doctor's practice | The visit itself | $18.63 | $21.98 – $33.35 |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 92201 at every Washington hospital, with Medicare’s reference amounts.