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
$56
Average
$1.5k
Median
$763
High
$35k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
271 hospitals; the 90th percentile is 10.0× 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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412 hospital rates
iThe hospitals that file a First Health 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 · outpatientfrom % of charges | 1 | $966 | $1.1k | $217 | 19% | 9–90 | $952 – $1.4k |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.1k | $212 | 19% | 6–60 | $952 – $1.4k |
| 3 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $380 | $368 | $140 | 38% | 5–50 | $130 – $571 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $157 | $112 | 71% | 4–40 | $42 – $286 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $157 | $112 | 71% | 4–40 | $42 – $286 |
| 6 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21.7k | $21.7k | $18.4k | 84% | 1–10 | $3.4k – $40.1k |
| 7 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $28.2k | $28.2k | $23.9k | 84% | 1–10 | $4.4k – $52.1k |
| 8 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 9 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 10 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 11 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 12 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 13 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 14 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 15 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $645 | $645 | — | — | — | $645 – $645 |
| 16 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $645 | $645 | — | — | — | $645 – $645 |
| 17 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.4k | $1.4k | $284 | 20% | — | $1.1k – $1.7k |
| 24 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · inpatientfrom % of charges | 1 | $196 | $228 | $46 | 20% | — | $196 – $294 |
| 25 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $228 | $46 | 20% | — | $196 – $294 |
← Payers reporting CPT 67028 · Snapshot 20261111T120946Z-9134e7f7