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
$1
Average
$1.7k
Median
$1.1k
High
$27.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1245 hospitals; the 90th percentile is 9.1× 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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1,866 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 3 | $18.4k | $20.0k | $5.8k | 29% | 3–30 | $13.8k – $27.8k |
| 2 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.2k | $1.2k | $70 | 6% | 2–20 | $1.0k – $1.2k |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $1.3k | $1.3k | $796 | 62% | 2–20 | $486 – $2.1k |
| 4 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $2.4k | $2.4k | $484 | 20% | 2–20 | $1.9k – $2.9k |
| 5 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $27.8k | $27.8k | — | — | 2–20 | $27.8k – $27.8k |
| 6 | Tufts Medical Center BOSTON, MA other · both | 2 | $3.3k | $3.3k | — | — | 2–20 | $3.3k – $3.3k |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $180 | $180 | — | — | 1–10 | $180 – $180 |
| 8 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $180 | $180 | — | — | 1–10 | $180 – $180 |
| 9 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $651 | $651 | — | — | 1–10 | $651 – $651 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $378 | $378 | $162 | 43% | 1–10 | $216 – $540 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $378 | $378 | $162 | 43% | 1–10 | $216 – $540 |
| 12 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.8k | 80% | 1–10 | $453 – $4.1k |
| 13 | The University of Texas Medical Branch Webster, TX other · both | 1 | $553 | $553 | — | — | 1–10 | $553 – $553 |
| 14 | The University of Texas Medical Branch Webster, TX other · outpatient | 1 | $553 | $553 | — | — | 1–10 | $553 – $553 |
| 15 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $489 | $489 | $285 | 58% | — | $204 – $774 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $499 | $499 | — | — | — | $499 – $499 |
| 17 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $354 | $318 | $50 | 16% | — | $247 – $354 |
| 18 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $360 | $322 | $54 | 17% | — | $247 – $360 |
| 19 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $354 | $318 | $51 | 16% | — | $247 – $354 |
| 20 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $2.0k | $1.6k | $980 | 61% | — | $287 – $2.6k |
| 21 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 5 | $2.0k | $1.6k | $980 | 61% | — | $287 – $2.6k |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $334 | $334 | — | — | — | $334 – $334 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $851 | $808 | $159 | 20% | — | $596 – $978 |
← Payers reporting CPT 67105 · Snapshot 20261112T181611Z-3fa9fb76