CPT 67104

Retinal detachment repair with drainage and laser

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repair of retinal detachment (one or more stages, same hospitalization); drainage of subretinal fluid with photocoagulation (one

Payer pricing summary

Low

$13.9k

Average

$38.0k

Median

$50k

High

$50k

Filter by billing methodology

All methodologies Case rate 5 Fee schedule 3 Per diem 1 Percent of billed charges 5 Other 4

Filter by billing class

#
1	Tricare fee schedule · outpatient	5	$50k	$50k	—	—	—	$50k – $50k
2	Aetna facility · fee schedule · outpatient	1	$13.9k	$13.9k	—	—	—	$13.9k – $13.9k
3	Humana facility · fee schedule · outpatient	1	$50k	$50k	—	—	—	$50k – $50k

← Hospitals reporting CPT 67104 · Snapshot 20261113T090226Z-3ce6c0b8

CPT 67104

Retinal detachment repair with drainage and laser

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repair of retinal detachment (one or more stages, same hospitalization); drainage of subretinal fluid with photocoagulation (one

Payer pricing summary

Low

$13.9k

Average

$38.0k

Median

$50k

High

$50k

Filter by billing methodology

All methodologies Case rate 5 Fee schedule 3 Per diem 1 Percent of billed charges 5 Other 4

Filter by billing class

#
1	Tricare fee schedule · outpatient	5	$50k	$50k	—	—	—	$50k – $50k
2	Aetna facility · fee schedule · outpatient	1	$13.9k	$13.9k	—	—	—	$13.9k – $13.9k
3	Humana facility · fee schedule · outpatient	1	$50k	$50k	—	—	—	$50k – $50k

← Hospitals reporting CPT 67104 · Snapshot 20261113T090226Z-3ce6c0b8