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
$10
Average
$8.7k
Median
$7.0k
High
$48.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
741 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.
Filter by billing methodology
Filter by billing class
918 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 12 | $15.9k | $25.1k | $17.5k | 70% | 408 | $3.5k – $50.6k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $24.0k | $29.1k | $9.5k | 33% | 99 | $22.8k – $45.4k |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $5.8k | $5.8k | — | — | 48 | $5.8k – $5.8k |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.6k | $11.6k | $949 | 8% | 32 | $10.6k – $12.5k |
| 5 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 6 | $16.2k | $18.7k | $8.4k | 45% | 8–80 | $13.1k – $40.3k |
| 6 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $5.2k | $4.0k | $1.7k | 43% | 3–30 | $1.6k – $5.2k |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $5.1k | $5.1k | — | — | 2–20 | $5.1k – $5.1k |
| 8 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.0k | — | — | 2–20 | $2.0k – $2.0k |
| 9 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 2 | $6.6k | $6.6k | $484 | 7% | 2–20 | $6.1k – $7.1k |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 5 | $3.7k | $4.8k | $1.9k | 39% | 1–10 | $3.3k – $7.4k |
| 11 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.6k | $10.6k | — | — | 1–10 | $10.6k – $10.6k |
| 12 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL other · outpatient | 1 | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 13 | Sarasota Memorial Hospital Sarasota, FL percent of total billed charges · outpatientfrom % of charges | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 14 | Sarasota Memorial Hospital - Venice North Venice, FL percent of total billed charges · outpatientfrom % of charges | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 15 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · outpatientfrom % of charges | 1 | $28.0k | $28.0k | — | — | 1–10 | $28.0k – $28.0k |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $2.0k | $1.9k | $485 | 26% | — | $1.1k – $2.5k |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $1.8k | $1.7k | $346 | 20% | — | $1.1k – $2.0k |
| 18 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 6 | $1.5k | $1.4k | $710 | 49% | — | $175 – $2.2k |
| 19 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 4 | $5.1k | $5.2k | $655 | 13% | — | $4.6k – $6.1k |
| 20 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 4 | $5.1k | $5.2k | $655 | 13% | — | $4.6k – $6.1k |
| 21 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 22 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 18 | $1.3k | $1.5k | $539 | 35% | — | $1.0k – $2.5k |
| 23 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
← Payers reporting CPT 67113 · Snapshot 20261111T120946Z-9134e7f7