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Intravitreal injection

CPT 67028 · negotiated-rate distribution across hospitals in PA

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Hospitals
22
Min
$179.02
Median
$1,241.08
Max
$2,467.92
Range multiplier
13.8×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna426$137.64$1,005.93$5,750.0041.8×
Blue Cross Blue Shield316$157.02$852.43$2,467.9215.7×
Medicaid211$91.14$143.25$1,049.8511.5×
Cigna411$341.53$1,959.60$5,460.0016.0×
intergroup210$1,633.00$2,612.80$3,694.952.3×
keystone first27$130.23$295.41$2,165.0416.6×
upmc health plan27$116.47$324.52$879.767.6×
ibc25$715.56$786.20$797.351.1×
Multiplan25$669.40$2,939.40$3,477.605.2×
pa health & wellness24$180.44$260.99$341.531.9×
First Health24$1,437.04$2,239.97$3,042.902.1×
pa health_wellness chc24$137.64$573.22$1,008.807.3×
health payors organization24$2,939.40$3,317.18$3,694.951.3×
amerihealth caritas24$167.54$254.54$341.532.0×
UnitedHealthcare34$121.76$234.30$1,181.009.7×
jup health partners chip13$91.14$105.88$546.926.0×
Medicare13$87.09$97.82$116.141.3×
private health care systems23$2,449.50$3,477.60$3,477.601.4×
jup geisinger commercial13$156.75$175.65$206.781.3×
upmc work partners22$575.68$575.68$575.681.0×
fidelis12$3,260.25$3,260.25$3,260.251.0×
health coalition partners12$3,477.60$3,477.60$3,477.601.0×
Humana12$3,694.95$3,694.95$3,694.951.0×
national provider network12$2,678.12$2,678.12$2,678.121.0×
preferred healthcare system12$2,825.55$2,825.55$2,825.551.0×
selectcare12$3,477.60$3,477.60$3,477.601.0×
upmc commercial22$3,362.00$4,411.00$5,460.001.6×
abington pro ibc12$95.94$97.84$99.731.0×
geisinger11$164.82$164.82$164.821.0×
jup pa health_wellness11$137.64$137.64$137.641.0×
american healthcare group11$2,612.80$2,612.80$2,612.801.0×
jab health partners11$119.39$119.39$119.391.0×
health partners plans (jefferson health plan)11$159.67$159.67$159.671.0×
bravo11$1,143.10$1,143.10$1,143.101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA7$714.00$390.24$119.39$897.50$5,750.00
Upmc ShadysidePittsburghPA20$4,347.00$2,608.20$116.47$2,467.92$3,694.95
Aria HealthPhiladelphiaPA15$87.09$179.02$3,362.00
Upmc Mercy HospitalPittsburghPA16$3,266.00$1,959.60$116.47$1,241.08$2,939.40
Clarion HospitalClarionPA0
St. Joseph Medical CenterReadingPA0$2,156.00$560.78
Hospital Of The Univ Of PennaPhiladelphiaPA0$450.00$450.00
Pottstown Memorial Medical CenterPottstownPA0$640.00$160.00
Phoenixville HospitalPhoenixvillePA0$640.00$160.00
Butler Memorial HospitalButlerPA0
Presbyterian Medical CenterPhiladelphiaPA0$450.00$450.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$450.00$450.00
Milton S. Hershey Medical CenterHersheyPA0$2,156.00$714.28
Physicians Care Surgical HospitalRoyersfordPA0$6,227.00$10,218
Wills Eye HospitalPhiladelphiaPA0$725.00
Hampden Medical CenterEnolaPA0$2,156.00$678.49
Penn State Hershey Rehabilitation LlHummelstownPA0$2,156.00$560.78
Holy Spirit HospitalCamp HillPA0$2,156.00$515.07
St Christophers Hospital For ChildrPhiladelphiaPA0$942.00$471.00
Chestnut Hill HospitalPhiladelphiaPA0$640.00$160.00
Uniontown HospitalUniontownPA0$989.00$494.50
Reading Hospital And Medical CenterReadingPA0$640.00$448.00

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.