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 Injection Air/Other Gas
Low
$413
Average
$4.0k
Median
$2.6k
High
$27.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1059 hospitals; the 90th percentile is 7.4× 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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1,455 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 | $5.9k | $8.9k | $6.1k | 69% | 6–60 | $1.4k – $19.0k |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 2–20 | $4.2k – $4.2k |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $3.2k | $10.0k | $13.4k | 135% | 2–20 | $1.9k – $44.3k |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $6.7k | $6.6k | $1.3k | 20% | 2–20 | $4.9k – $8.2k |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $904 | $904 | — | — | 1–10 | $904 – $904 |
| 6 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $966 | $966 | — | — | 1–10 | $966 – $966 |
| 7 | Riverside Hospital Inc Newport News, VA case rate · outpatient | 1 | $15.7k | $15.7k | — | — | 1–10 | $15.7k – $15.7k |
| 8 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $631 | $631 | — | — | 1–10 | $631 – $631 |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.6k | $1.6k | $487 | 31% | — | $1.1k – $2.1k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.9k | $10.5k | $1.1k | 10% | — | $9.7k – $12.0k |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $796 | $796 | — | — | — | $796 – $796 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $1.6k | $1.4k | $436 | 31% | — | $781 – $1.9k |
| 15 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $1.5k | $2.2k | $2.0k | 91% | — | $338 – $5.5k |
| 16 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 18 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $2.5k | $2.1k | $631 | 30% | — | $1.2k – $2.6k |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $1.8k | $1.8k | $729 | 40% | — | $979 – $2.6k |
| 20 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA case rate · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $1.0k | $1.2k | $542 | 47% | — | $513 – $2.1k |
| 23 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 4 | $2.6k | $2.7k | $285 | 11% | — | $2.5k – $3.2k |
| 25 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 4 | $2.6k | $2.7k | $291 | 11% | — | $2.4k – $3.2k |
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