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Intravitreal injection

CPT 67028 · negotiated-rate distribution across hospitals in SC

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Hospitals
10
Min
$104.71
Median
$307.21
Max
$1,030.21
Range multiplier
9.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$70.67$202.00$202.002.9×
Blue Cross Blue Shield572$102.44$118.47$1,065.4810.4×
UnitedHealthcare546$61.08$106.96$4,256.0069.7×
Medicare144$85.82$87.26$108.111.3×
no fault [114001]128$370.63$370.63$370.631.0×
Aetna426$29.10$50.00$307.2110.6×
Molina424$293.65$454.50$537.621.8×
univera healthcare [100169]118$75.09$119.26$119.261.6×
Cigna415$25.20$126.52$2,843.00112.8×
independent health [100165]114$104.30$104.30$104.301.0×
absolute total care413$307.21$308.33$2,500.008.1×
Humana412$91.62$192.64$307.213.4×
select health312$293.65$322.57$688.152.3×
WellCare110$91.62$91.62$95.991.0×
clover insurance company36$319.50$319.50$319.501.0×
amerigroup [350102]16$202.00$202.00$202.001.0×
beacon essential [350122]16$78.53$104.71$104.711.3×
federal workers compensation [500100]16$370.63$370.63$370.631.0×
fidelis essential [100163]16$95.98$95.98$95.981.0×
independent health essential [100166]16$202.00$202.00$202.001.0×
TRICARE16$87.26$87.26$87.261.0×
univera healthcare essential [100170]16$75.09$75.09$75.091.0×
VA Health16$78.53$78.53$78.531.0×
devoted health24$307.21$307.21$307.211.0×
hospice [550001]14$87.26$87.26$87.261.0×
fidelis dual advantage [450120]14$91.62$91.62$91.621.0×
iha first choice [800001]14$104.30$104.30$104.301.0×
phcs33$90.00$90.00$90.001.0×
plotkin health33$60.00$60.00$60.001.0×
Multiplan33$90.00$90.00$90.001.0×
medcost - sc33$50.44$56.53$58.511.2×
fidelis exchange [100164]12$104.71$104.71$104.711.0×
devoted health plan12$307.21$307.21$307.211.0×
upmc health plan [100181]12$157.07$157.07$157.071.0×
crime victims [100176]12$202.00$202.00$202.001.0×
covid19 hrsa [45013]12$87.26$87.26$87.261.0×
champ va [700002]12$87.26$87.26$87.261.0×
mvp healthcare [100168]12$120.92$120.92$120.921.0×
catholic health life pace [400005]12$87.26$87.26$87.261.0×
excellus rochester mcd [350117]12$202.00$202.00$202.001.0×
fallon health [450115]12$87.26$87.26$87.261.0×
beacon health options [100023]12$104.71$104.71$104.711.0×
vna option mltc [350110]12$202.00$202.00$202.001.0×
ghi [100153]12$95.98$95.98$95.981.0×
seneca nation [450119]12$87.26$87.26$87.261.0×
tuscarora nation [550120]12$202.00$202.00$202.001.0×
blue choice12$364.13$455.16$546.191.5×
pruitt health11$4,950.00$4,950.00$4,950.001.0×
sc state employees11$588.08$588.08$588.081.0×
blue choice health plan11$521.33$521.33$521.331.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
East Cooper Regional Medical CenterMt. PleasantSC14$671.28$36.90$309.31$2,843.00
Coastal Carolina Medical CenterHardeevilleSC14$671.28$25.20$307.21$1,134.00
Hilton Head HospitalHilton Head IslandSC14$671.28$32.20$307.21$1,147.00
Mary Black Memorial HospitalSpartanburgSC37$389.16$389.16$61.08$104.71$454.50
Colleton Medical CenterWalterboroSC9$364.13$1,030.21$4,950.00
Mcleod Health ClarendonManningSC0$1,111.00$788.81
Mcleod Regional Medical CenterFlorenceSC0$1,111.00$788.81
Mcleod Loris Seacoast HospitalLorisSC0$1,111.00$788.81
Mcleod Health CherawCherawSC0$1,111.00$788.81
Mcleod Medical Center - DillonDillonSC0$1,111.00$788.81

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.