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
Average
$7.2k
Median
$5.8k
High
$44.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1239 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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1,796 hospital rates
iThe hospitals that file a UnitedHealthcare 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 case rate · outpatient | 2 | $7.3k | $7.3k | $385 | 5% | 156 | $6.9k – $7.7k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $50.6k | $59.3k | $17.3k | 29% | 78 | $50.6k – $94.0k |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $31.3k | $35.1k | $11.4k | 32% | 72 | $23.5k – $50.6k |
| 4 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $13.1k | $13.2k | $2.8k | 21% | 34–52 | $10.0k – $16.8k |
| 5 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $5.2k | $5.2k | — | — | 20 | $5.2k – $5.2k |
| 6 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $5.2k | $5.2k | — | — | 20 | $5.2k – $5.2k |
| 7 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | 16 | $5.6k – $5.6k |
| 8 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $6.2k | $5.6k | $1.5k | 27% | 12–120 | $3.6k – $7.1k |
| 9 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 3 | $8.6k | $8.6k | — | — | 3–30 | $8.6k – $8.6k |
| 10 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $6.4k | $6.2k | $580 | 9% | 2–20 | $5.4k – $7.0k |
| 11 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 12 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $14.3k | $14.3k | $2.9k | 20% | 2–20 | $11.4k – $17.1k |
| 13 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $2.6k | $2.6k | $829 | 32% | 2–20 | $1.8k – $3.4k |
| 14 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 2–20 | $6.2k – $6.8k |
| 15 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 2 | $10.8k | $10.8k | $5.2k | 48% | 2–20 | $5.6k – $16.0k |
| 16 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 2 | $2.2k | $2.2k | — | — | 2–20 | $2.2k – $2.2k |
| 17 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.0k | $1.1k | 36% | 2–20 | $1.9k – $4.1k |
| 18 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 2 | $5.0k | $5.0k | $2.6k | 53% | 1–10 | $2.4k – $7.6k |
| 19 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 1 | $12.7k | $12.7k | — | — | 1–10 | $12.7k – $12.7k |
| 20 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · case rate · outpatient | 2 | $11.0k | $11.0k | $8.7k | 78% | 1–10 | $2.4k – $19.7k |
| 21 | HMH HOSPITALS CORPORATION Edison, NJ facility · case rate · outpatient | 1 | $21.8k | $21.8k | — | — | 1–10 | $21.8k – $21.8k |
| 22 | Henry Ford Health System West Bloomfield, MI facility · case rate · outpatient | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 23 | Henry Ford Health System Plymouth, MI facility · case rate · outpatient | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 24 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.3k | $12.3k | — | — | 1–10 | $12.3k – $12.3k |
| 25 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $4.7k | $4.8k | $3.1k | 64% | 1–10 | $1.1k – $8.6k |
← Payers reporting CPT 67113 · Snapshot 20261111T120946Z-9134e7f7