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
$82
Average
$9.9k
Median
$8.3k
High
$66.4k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
833 hospitals; the 90th percentile is 5.5× 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
998 hospital rates
iThe hospitals that file a Cigna 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 | 4 | $50.6k | $47.4k | $18.5k | 39% | 234 | $17.4k – $75.2k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $19.3k | $23.3k | $12.7k | 55% | 72 | $10.0k – $40.5k |
| 3 | Inova Fair Oaks Hospital Fairfax, VA other · both | 3 | $11.9k | $12.8k | $3.0k | 23% | 6–60 | $8.5k – $16.6k |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 3 | $12.4k | $16.8k | $9.6k | 57% | 3–30 | $7.9k – $30.2k |
| 5 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $10.7k | $10.7k | $2.1k | 20% | 2–20 | $8.5k – $12.8k |
| 6 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $18.4k | $19.2k | $2.9k | 15% | 2–20 | $14.8k – $22.9k |
| 7 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $13.0k | $13.0k | — | — | 1–10 | $13.0k – $13.0k |
| 8 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $5.9k | $5.9k | $1.2k | 20% | 1–10 | $4.7k – $7.1k |
| 9 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 10 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 11 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 12 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.6k | $7.6k | — | — | 1–10 | $7.6k – $7.6k |
| 13 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $12.7k | $12.7k | — | — | 1–10 | $12.7k – $12.7k |
| 14 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $12.5k | $12.5k | — | — | 1–10 | $12.5k – $12.5k |
| 15 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI percent of total billed charges · outpatientfrom % of charges | 1 | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
| 16 | St. Lukes Hospital of Kansas City City, KS case rate · outpatient | 1 | $12.1k | $12.1k | — | — | 1–10 | $12.1k – $12.1k |
| 17 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 18 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.0k | $12.0k | — | — | 1–10 | $12.0k – $12.0k |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 24 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
← Payers reporting CPT 67113 · Snapshot 20261111T120946Z-9134e7f7