Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC INTRAVITREAL INJECTION
Low
$53
Average
$1.4k
Median
$672
High
$20.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1294 hospitals; the 90th percentile is 16.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,020 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $316 | $305 | $116 | 38% | 3,335 | $107 – $473 |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $1.5k | $1.5k | — | — | 667 | $1.5k – $1.5k |
| 3 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $801 | $938 | $180 | 19% | 667 | $789 – $1.2k |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $379 | $491 | $257 | 52% | 340 | $276 – $989 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $360 | $465 | $244 | 52% | 340 | $261 – $938 |
| 6 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $608 | $590 | $95 | 16% | 314–323 | $466 – $696 |
| 7 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.1k | $227 | 20% | 254 | $827 – $1.4k |
| 8 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 2 | $639 | $639 | $1 | 0% | 166 | $638 – $640 |
| 9 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 2 | $639 | $639 | $1 | 0% | 166 | $638 – $640 |
| 10 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $1.9k | $1.9k | — | — | 129 | $1.9k – $1.9k |
| 11 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $706 | $706 | — | — | 72 | $706 – $706 |
| 12 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $410 | $476 | $209 | 44% | 70–106 | $287 – $792 |
| 13 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $394 | $394 | — | — | 58 | $394 – $394 |
| 14 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.2k | $213 | 18% | 54 | $955 – $1.5k |
| 15 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 53 | $97 – $97 |
| 16 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 1 | $171 | $171 | — | — | 29 | $171 – $171 |
| 17 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $67 | $52 | 78% | 29 | $38 – $171 |
| 18 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 1 | $171 | $171 | — | — | 29 | $171 – $171 |
| 19 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $67 | $52 | 78% | 29 | $38 – $171 |
| 20 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $331 | $331 | — | — | 29–47 | $331 – $331 |
| 21 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $629 | $629 | $122 | 19% | 28–46 | $508 – $751 |
| 22 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $629 | $629 | $122 | 19% | 28–46 | $508 – $751 |
| 23 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 1 | $331 | $331 | — | — | 28–37 | $331 – $331 |
| 24 | Wills Eye Hospital Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | 25 | $268 – $268 |
| 25 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 23 | $1.3k – $1.3k |
← Payers reporting CPT 67028 · Snapshot 20261111T120946Z-9134e7f7