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 Complex Retina Detach Vitrect &Membrane Peel
Low
$1.6k
Average
$6.7k
Median
$5.8k
High
$19.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 4.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 532 | $5.1k | $6.2k | $7.3k | 119% | 5–50 | $211 – $151.6k |
| 2 | Aetna fee schedule · outpatient · +25 other terms | 465 | $5.7k | $6.7k | $5.4k | 80% | 4–40 | $79 – $53.3k |
| 3 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $10.2k | $10.0k | $2.3k | 23% | 3–30 | $2.5k – $14.4k |
| 4 | Cigna case rate · outpatient · +21 other terms | 335 | $10.4k | $11.2k | $6.3k | 56% | 2–20 | $82 – $54.4k |
| 5 | Anthem fee schedule · outpatient · +17 other terms | 124 | $5.0k | $5.6k | $6.1k | 109% | 2–20 | $1.3k – $38.9k |
| 6 | Humana fee schedule · outpatient · +20 other terms | 357 | $5.2k | $4.7k | $2.5k | 52% | 1–10 | $1 – $24.6k |
| 7 | Molina fee schedule · outpatient · +19 other terms | 218 | $3.9k | $3.1k | $2.6k | 82% | 1–10 | $1 – $13.0k |
| 8 | Amerihealth Caritas case rate · outpatient · +7 other terms | 31 | $1.1k | $8.4k | $6.4k | 76% | 1–10 | $1.0k – $16.0k |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 347 | $7.4k | $8.5k | $5.7k | 66% | — | $1 – $58.9k |
| 10 | WellCare fee schedule · outpatient · +14 other terms | 181 | $5.4k | $5.4k | $1.9k | 35% | — | $220 – $12.1k |
| 11 | Oscar case rate · outpatient · +14 other terms | 129 | $9.4k | $8.4k | $3.1k | 37% | — | $3.5k – $17.8k |
| 12 | Kaiser fee schedule · outpatient · +15 other terms | 98 | $6.6k | $7.4k | $5.8k | 78% | — | $170 – $31.4k |
| 13 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $6.9k | $1.0k | 15% | — | $3.4k – $8.6k |
| 14 | Aetna Better Health fee schedule · outpatient · +10 other terms | 72 | $1.9k | $2.0k | $737 | 36% | — | $1.1k – $6.0k |
| 15 | Ambetter fee schedule · outpatient · +11 other terms | 72 | $9.2k | $7.9k | $3.5k | 44% | — | $1.6k – $12.8k |
| 16 | Devoted fee schedule · outpatient · +7 other terms | 69 | $5.4k | $4.9k | $1.3k | 27% | — | $1.3k – $5.9k |
| 17 | Caresource fee schedule · outpatient · +11 other terms | 52 | $5.1k | $4.6k | $2.0k | 43% | — | $396 – $9.1k |
| 18 | Superior Healthplan case rate · outpatient · +3 other terms | 46 | $2.4k | $2.5k | $832 | 33% | — | $2.3k – $7.8k |
| 19 | Optum fee schedule · outpatient · +14 other terms | 42 | $4.8k | $5.5k | $4.1k | 76% | — | $1.3k – $19.6k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $5.7k | $5.6k | $2.6k | 46% | — | $1.5k – $15.8k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 32 | $5.6k | $5.6k | $325 | 6% | — | $4.8k – $6.2k |
| 22 | Tricare fee schedule · outpatient · +12 other terms | 31 | $4.8k | $4.5k | $1.1k | 24% | — | $1.3k – $6.3k |
| 23 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $1.6k | $3.3k | $1.8k | 55% | — | $1.6k – $5.7k |
| 24 | Medica case rate · outpatient · +11 other terms | 28 | $4.5k | $4.8k | $2.0k | 42% | — | $1.6k – $10.6k |
| 25 | Medicare fee schedule · outpatient · +12 other terms | 24 | $1.3k | $2.1k | $1.6k | 77% | — | $1.2k – $5.3k |
← Hospitals reporting CPT 67113 · Snapshot 20261111T120946Z-9134e7f7