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
Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc
Low
$138
Average
$3.4k
Median
$1.5k
High
$52.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1166 hospitals; the 90th percentile is 22.6× 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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1,613 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $9.2k | $8.9k | $2.5k | 28% | 6–60 | $4.0k – $11.9k |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 3–30 | $1.2k – $1.2k |
| 3 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $466 | $466 | $359 | 77% | 2–20 | $107 – $825 |
| 4 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $17.7k | $17.7k | $10.2k | 57% | 2–20 | $7.5k – $27.8k |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $435 | $435 | — | — | 1–10 | $435 – $435 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $827 | $739 | $133 | 18% | 1–10 | $551 – $839 |
| 7 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $499 | $499 | — | — | — | $499 – $499 |
| 10 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $552 | $552 | — | — | — | $552 – $552 |
| 11 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $521 | $521 | — | — | — | $521 – $521 |
| 12 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 13 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 15 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.4k | $9.0k | $1.1k | 12% | — | $7.5k – $10.1k |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $540 | $474 | $145 | 31% | — | $264 – $632 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $593 | $691 | $398 | 58% | — | $244 – $1.3k |
| 20 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $665 | $558 | $167 | 30% | — | $321 – $687 |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $481 | $479 | $193 | 40% | — | $260 – $687 |
| 24 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA case rate · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 25 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 2 | $6.6k | $6.6k | $136 | 2% | — | $6.5k – $6.8k |
← Payers reporting CPT 67105 · Snapshot 20261112T181611Z-3fa9fb76