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
$95
Average
$502
Median
$441
High
$931
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 2.9× 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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101 hospital rates
iThe hospitals that file a Healthpartners 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 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $644 | $651 | $145 | 22% | 1–10 | $477 – $833 |
| 2 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $322 | $65 | 20% | 1–10 | $276 – $413 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $931 | $931 | — | — | — | $931 – $931 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $97 | $97 | $10 | 11% | — | $87 – $108 |
| 5 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 6 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $833 | $833 | — | — | — | $833 – $833 |
| 7 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $833 | $833 | — | — | — | $833 – $833 |
| 8 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 3 | $644 | $651 | $145 | 22% | — | $477 – $833 |
| 9 | Avera Marshall Hospital Marshall, MN fee schedule · both | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 10 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $202 | $236 | $48 | 20% | — | $202 – $303 |
| 11 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $236 | $48 | 20% | — | $202 – $303 |
| 12 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 13 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 14 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $103 | $39 | 38% | — | $64 – $141 |
| 15 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 16 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 17 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 18 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $350 | $311 | $67 | 22% | — | $195 – $350 |
| 19 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 20 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $328 | $282 | $65 | 23% | — | $190 – $328 |
| 21 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 22 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $323 | $279 | $63 | 23% | — | $189 – $323 |
| 23 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 24 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $344 | $309 | $70 | 23% | — | $190 – $359 |
| 25 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $333 | $333 | — | — | — | $333 – $333 |
← Payers reporting CPT 67028 · Snapshot 20261111T120946Z-9134e7f7