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Intravitreal injection

CPT 67028 · negotiated-rate distribution across hospitals in TX

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Hospitals
31
Min
$48.45
Median
$310.96
Max
$3,590.00
Range multiplier
74.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25146$30.62$134.75$8,427.00275.2×
UnitedHealthcare2273$39.75$315.21$2,960.0074.5×
Aetna1839$59.32$317.18$3,348.0056.4×
Medicaid1838$72.77$281.80$302.064.2×
Medicare1136$59.32$318.83$373.376.3×
Humana2134$59.32$311.05$2,700.0045.5×
Anthem BCBS224$59.32$143.69$143.692.4×
Cigna1020$221.22$312.70$5,101.0023.1×
Ambetter99$59.32$450.89$669.6211.3×
commercial | entrust | all plans88$618.06$734.08$817.821.3×
wellpoint48$52.81$236.64$420.468.0×
commercial | community health choice | exchange77$325.49$466.44$466.711.4×
Medicare Advantage26$59.32$59.32$59.321.0×
commercial | kelseycare | all plans55$942.30$942.30$942.301.0×
commercial | harris health | ers55$466.44$466.71$466.711.0×
commercial | nxhealth | all plans55$1,004.35$1,010.62$1,011.201.0×
commercial | renaissance | all plans55$223.89$224.02$224.021.0×
commercial | superior health plan | all plans55$466.44$466.71$466.711.0×
commercial | kelseycare | exchange55$419.80$420.04$420.041.0×
90 degree benefits44$778.63$778.63$778.631.0×
baylor scott & white health plan14$298.39$385.56$518.261.7×
caprock44$778.63$778.63$778.631.0×
care improvement44$311.45$311.45$311.451.0×
insurance management services44$507.66$507.66$507.661.0×
insurance services of lubbock44$507.66$507.66$507.661.0×
kempton group44$622.90$622.90$622.901.0×
mhs care connect24$72.77$72.77$72.771.0×
Molina44$50.87$50.87$50.871.0×
patoka valley tier 124$143.69$143.69$143.691.0×
patoka valley tier 224$143.69$143.69$143.691.0×
pdh/texas trust44$622.90$622.90$622.901.0×
scott & white44$498.32$498.32$498.321.0×
wellmed44$311.45$311.45$311.451.0×
health partners open network23$183.36$183.36$525.202.9×
superior health plan23$48.45$50.87$314.106.5×
personalized care22$59.32$59.32$59.321.0×
corizon22$59.32$59.32$59.321.0×
ascension complete mcr22$59.32$59.32$59.321.0×
secure horizons-pacificare22$59.32$59.32$59.321.0×
encore exclusive22$143.69$143.69$143.691.0×
CareSource22$59.32$59.32$59.321.0×
immergrun22$59.32$59.32$59.321.0×
commercial | ellwood | all plans22$927.09$927.09$927.091.0×
triwest11$314.10$314.10$314.101.0×
amerigroup11$282.70$282.70$282.701.0×
police departments [50065]11$1,000.00$1,000.00$1,000.001.0×
prime health services11$329.05$329.05$329.051.0×
procare advantage11$329.81$329.81$329.811.0×
commercial | employerdirect | all plans11$435.60$435.60$435.601.0×
commercial | angelina county | all plans11$383.08$383.08$383.081.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens Medical Center Of PlanoPlanoTX5$50.87$95.41$95.41
Acuity Hospital Of South TexasSan AntonioTX1$91.95$91.95$91.95
Ascension Seton Shoal CreekAustinTX18$39.75$72.77$283.93
Ascension Seton BastropBastropTX18$39.75$72.77$283.93
Driscoll Childrens HospitalCorpus ChristiTX2$2,934.80$586.96$165.82$582.91$1,000.00
Pam Squared At Corpus ChristiCorpus ChrstiTX2$48.45$48.45$48.45
Shannon Medical CenterSan AngeloTX14$50.87$420.46$778.63
San Angelo Community Medical CenterSan AngeloTX14$50.87$420.46$778.63
Big Spring State HospitalBig SpringsTX14$50.87$420.46$778.63
River Crest HospitalSan AngeloTX14$50.87$420.46$778.63
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$3,590.00$8,427.00
Scott And White Memorial HospitalTempleTX15$48.45$329.81$3,500.00
St Lukes Hospital At The VintageHoustonTX15$36.94$318.92$2,468.00
St. Lukes Lakeside HospitalThe WoodlandsTX14$36.94$317.36$2,468.00
St. Lukes Sugar Land HospitalSugar LandTX13$36.94$317.36$2,468.00
St. Lukes The Woodlands HospitalThe WoodlandsTX14$36.94$317.18$2,468.00
Chi St Lukes Health Baylor Med CtrHoustonTX14$40.34$317.18$2,700.00
St. Lukes Patients Medical CenterPasadenaTX8$36.94$310.96$2,468.00
Brazosport Regional Health SystemLake JacksonTX10$48.60$310.96$3,348.00
St. Joseph Regional Health CenterBryanTX9$63.67$309.03$2,960.00
College Station Medical CenterCollege StationTX9$63.67$309.03$2,960.00
Trinity Regional Hospital SachseSachseTX8$630.00$504.00$83.20$282.70$870.43
Madison St. Joseph Health CenterMadisonvilleTX3$63.67$278.18$2,960.00
Grimes St. Joseph Health CenterNavasotaTX3$63.67$278.18$2,960.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$30.62$277.04$1,392.00
St Lukes Health Memorial San AugustSan AugustineTX4$30.62$275.42$1,392.00
Burleson St. Joseph Health CenterCaldwellTX3$63.67$275.42$289.19
Chi St Lukes Health Memorial LufkinLufkinTX7$30.62$267.14$1,392.00
Heritage Park Surgical HospitalShermanTX2$1,189.00$713.40$308.55$2,252.00$3,361.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$308.55$2,252.00$3,361.00
Wilson N Jones Regional Medical CtrShermanTX8$630.00$504.00$83.20$172.70$306.78

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.