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
$562
Average
$6.3k
Median
$5.5k
High
$52.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1161 hospitals; the 90th percentile is 6.1× 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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1,515 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 Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $29.1k | $29.8k | $13.8k | 47% | 312 | $13.7k – $50.6k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $16.8k | $16.3k | $4.6k | 28% | 144 | $7.2k – $21.7k |
| 3 | Wills Eye Hospital Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 86 | $3.8k – $3.8k |
| 4 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.9k | $16.9k | — | — | 42 | $16.9k – $16.9k |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $5.4k | $4.4k | $1.9k | 43% | 21–30 | $839 – $5.4k |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $5.3k | $4.2k | $1.9k | 46% | 12 | $839 – $5.3k |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $3.6k | $2.4k | $1.6k | 68% | 5–50 | $109 – $3.6k |
| 8 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $14.3k | $15.3k | $4.7k | 31% | 5–50 | $7.8k – $20.9k |
| 9 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $4.1k | $4.1k | — | — | 4–40 | $4.1k – $4.1k |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $8.8k | $8.2k | $1.9k | 24% | 4–40 | $5.3k – $10.1k |
| 11 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $7.4k | $7.4k | $1.5k | 20% | 4–40 | $5.9k – $8.8k |
| 12 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $6.0k | $6.0k | — | — | 2–20 | $6.0k – $6.0k |
| 13 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA case rate · outpatient | 1 | $3.8k | $3.8k | $1.1k | 28% | 2–20 | $2.7k – $4.8k |
| 14 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | $1.2k | 42% | 2–20 | $1.7k – $4.2k |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.0k | $16.0k | $1.7k | 10% | 2–20 | $14.3k – $17.7k |
| 16 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 1 | $15.8k | $15.8k | — | — | 1–10 | $15.8k – $15.8k |
| 17 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 18 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $13.8k | $13.8k | $355 | 3% | 1–10 | $13.5k – $14.2k |
| 19 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 20 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 21 | Renown Regional Medical Center Reno, NV facility · case rate · outpatient | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 22 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 23 | St. Lukes Hospital of Kansas City City, KS case rate · outpatient | 1 | $7.6k | $7.6k | — | — | 1–10 | $7.6k – $7.6k |
| 24 | St. Lukes Hospital of Kansas City City, KS other · outpatient | 1 | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 25 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $17.2k | $17.2k | — | — | 1–10 | $17.2k – $17.2k |
← Payers reporting CPT 67113 · Snapshot 20261111T120946Z-9134e7f7