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Intravitreal injection

CPT 67028 · negotiated-rate distribution across hospitals in MA

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Hospitals
3
Min
$372.13
Median
$719.3
Max
$719.3
Range multiplier
1.9×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield320$52.12$329.78$1,43527.5×
UnitedHealthcare319$22.71$486.47$3,280144.4×
institution [10406]216$395.85$1,435$1,4353.6×
harvard pilgrim [10701]212$827.65$1,118.2$1,492.371.8×
Aetna36$24.88$935.62$4,049162.7×
Medicaid26$395.85$473.55$746.21.9×
correctional care [11003]26$395.85$395.85$3,563.919.0×
Cigna35$1,519$2,033$3,563.912.3×
tufts [11201]24$1,377.17$1,446.04$1,514.91.1×
First Health33$60$1,076.25$1,076.2517.9×
fallon mcr [10105]22$415.65$415.65$415.651.0×
fidelis care12$25.96$199.05$372.1314.3×
grants [20507]22$1,435$1,435$1,4351.0×
harvard pilgrim mcr supp [20203]22$415.65$415.65$415.651.0×
hne [11108]22$647.19$647.19$647.191.0×
hsno/free care [10801]22$672.16$672.16$672.161.0×
masshealth mcd mbhp [38]22$1,435$1,435$1,4351.0×
Medicare22$395.85$395.85$395.851.0×
mgb mcr [10124]22$415.65$415.65$415.651.0×
Multiplan22$1,076.25$1,076.25$1,076.251.0×
optum transplant [20601]22$1,435$1,435$1,4351.0×
qualcare inc12$87$1,393$2,69931.0×
senior whole health [10110]22$423.56$423.56$423.561.0×
tufts connectorcare [10507]22$673.35$673.35$673.351.0×
amerihealth12$37.03$41.97$46.911.3×
automobile [10401]22$1,435$1,435$1,4351.0×
CHAMPVA22$421.87$421.87$421.871.0×
commonwealth care mcr [10115]22$415.65$415.65$415.651.0×
connecticare [11105]22$1,435$1,435$1,4351.0×
eternalhealth mcr replace [10116]22$415.65$415.65$415.651.0×
evernorth behavioral health [27]22$1,148$1,148$1,1481.0×
fallon connectorcare [10503]22$1,020.29$1,020.29$1,020.291.0×
fallon mcaid carelon hlth [29]22$1,435$1,435$1,4351.0×
wellpoint12$372.13$1,819.07$3,2668.8×
wellpoint [11112]22$1,056.73$1,056.73$1,056.731.0×
wellsense cc carelon hlth [20]22$1,435$1,435$1,4351.0×
workers compensation [20501]22$89$89$891.0×
tufts dual [10111]22$395.85$395.85$395.851.0×
tufts mcr supp [20209]22$415.65$415.65$415.651.0×
tufts us family [11203]22$395.85$395.85$395.851.0×
wellfleet [11106]22$1,291.5$1,291.5$1,291.51.0×
Humana11$372.13$372.13$372.131.0×
Emblem Health11$744.26$744.26$744.261.0×
WellCare11$740.54$740.54$740.541.0×
clover health11$372.13$372.13$372.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARLBOROUGH HOSPITALMARLBOROUGHMA37$1,435$1,435$89$719.3$3,563.91
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA37$1,435$1,435$89$719.3$3,563.91
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$4,881$22.71$372.13$4,049

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.