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
PR Repr Cplx Retinal Detach W Vitrectomy/Membrane Peeling
Troy, NY
Negotiated rates from the hospital’s own file: 13 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem empire medicaid facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Excellus empire medicaid facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 6 | Anthem empire bcbs medicare advantage facility · other · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
| 8 | Aetna aetna medicare advantage facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 9 | WellCare wellcare medicare advantage facility · other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 10 | Excellus blue shield of ne new york medicare adv facility · other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 11 | Highmark blue shield of ne new york medicare adv facility · other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 12 | Highmark blue shield of ne new york ascend facility · other · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 13 | WellCare wellcare ep 1&2 medicaid facility · other · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 14 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 15 | Anthem empire bcbs blue access facility · other · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 16 | Aetna aetna facility · other · outpatient | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 17 | Medical Mutual aetna facility · other · outpatient | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 18 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · outpatient | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 19 | Carefirst blue shield of ne new york hmo facility · other · outpatient | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 20 | Highmark blue shield of ne new york hmo facility · other · outpatient | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 21 | Wellmark blue shield of ne new york hmo facility · other · outpatient | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 22 | Anthem empire bcbs hmo epo ppo indemnity facility · other · outpatient | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 23 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · outpatient | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 24 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · outpatient | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 25 | Wellmark empire bcbs hmo epo ppo indemnity facility · other · outpatient | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |