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
VIT FOR MACULAR HOLE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$616
Average
$5.3k
Median
$4.7k
High
$31.1k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1294 hospitals; the 90th percentile is 6.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Vincent Hospital Of The Hospital Sisters Of The Third Order Of St Francis Green Bay, WI | $3.8k | $3.8k | $4 | 0% | 34–70 | $3.8k – $3.8k |
| 2 | St Johns Hospital Of The Hospital Sisters Of The Third Order Of St Francis Springfield, IL | $4.1k | $4.1k | $3 | 0% | 28–46 | $4.1k – $4.1k |
| 3 | Oregon Health & Science University PORTLAND, OR | $4.8k | $6.2k | $3.5k | 56% | 10–100 | $3.5k – $13.7k |
| 4 | Dignity Health Sacramento, CA | $2.8k | $3.3k | $1.8k | 56% | 3–30 | $1.1k – $5.8k |
| 5 | Hartford Hospital HARTFORD, CT | $12.8k | $12.5k | $1.4k | 11% | 3–30 | $9.7k – $14.2k |
| 6 | Lafayette General Medical Center Inc Lafayette, LA | $13.4k | $13.4k | $619 | 5% | 2–20 | $12.8k – $14.0k |
| 7 | Boston Medical Center Boston, MA | $3.9k | $4.8k | $1.9k | 38% | 1–10 | $3.3k – $7.4k |
| 8 | Methodist Olive Branch Hospital OLIVE BRANCH, MS | $3.1k | $3.3k | $1.5k | 45% | 1–10 | $297 – $6.4k |
| 9 | Parkland Health Dallas, TX | $1.8k | $3.9k | $2.6k | 67% | 1–10 | $1.6k – $8.2k |
| 10 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $4.1k | $4.8k | $1.6k | 34% | — | $1.7k – $7.8k |
Ask Claude or any MCP client for CPT 67042 pricing at a specific hospital — see how to connect.