▸ Compare · PriceTransparency
Intravitreal injection
CPT 67028 · negotiated-rate distribution across hospitals in WI
Hospitals
32
Min
$262.55
Median
$1,300.00
Max
$5,749.00
Range multiplier
21.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 20 | 69 | $84.39 | $1,641.00 | $3,990.00 | 47.3× |
| Anthem BCBS | 20 | 56 | $84.39 | $1,183.00 | $6,159.00 | 73.0× |
| common ground | 12 | 36 | $1,300.00 | $1,492.00 | $1,492.00 | 1.1× |
| wisconsin physician service | 12 | 36 | $2,115.00 | $2,226.00 | $2,226.00 | 1.1× |
| Molina | 18 | 25 | $250.75 | $710.36 | $1,825.00 | 7.3× |
| Medicare | 11 | 22 | $318.87 | $322.08 | $337.06 | 1.1× |
| VA Health | 11 | 22 | $318.87 | $322.08 | $337.06 | 1.1× |
| Cigna | 13 | 19 | $200.60 | $3,500.00 | $3,500.00 | 17.4× |
| Aetna | 12 | 18 | $916.86 | $1,894.00 | $1,894.00 | 2.1× |
| Humana | 6 | 17 | $88.61 | $402.25 | $402.25 | 4.5× |
| trilogy | 13 | 16 | $265.50 | $2,340.00 | $2,340.00 | 8.8× |
| smart health | 7 | 14 | $450.91 | $450.91 | $471.88 | 1.0× |
| health payment systems | 13 | 14 | $205.32 | $2,300.00 | $2,300.00 | 11.2× |
| healthpartners | 3 | 12 | $477.30 | $738.15 | $832.50 | 1.7× |
| aurora caregiver | 12 | 12 | $1,300.00 | $1,300.00 | $1,300.00 | 1.0× |
| centivo | 12 | 12 | $1,967.00 | $1,967.00 | $1,967.00 | 1.0× |
| quartz one | 12 | 12 | $1,670.00 | $1,670.00 | $1,670.00 | 1.0× |
| quartz group | 12 | 12 | $1,950.00 | $1,950.00 | $1,950.00 | 1.0× |
| everpointe elite | 12 | 12 | $1,291.00 | $1,291.00 | $1,291.00 | 1.0× |
| hs technology | 12 | 12 | $2,138.00 | $2,138.00 | $2,138.00 | 1.0× |
| network health plan | 5 | 9 | $147.34 | $246.32 | $927.42 | 6.3× |
| wps | 7 | 7 | $371.77 | $371.77 | $371.77 | 1.0× |
| health eos | 3 | 6 | $888.00 | $888.00 | $888.00 | 1.0× |
| health eos plus | 3 | 6 | $666.00 | $666.00 | $666.00 | 1.0× |
| security health plan (shp) | 1 | 5 | $153.34 | $170.39 | $316.17 | 2.1× |
| group health cooperative of eau claire | 1 | 5 | $241.90 | $280.25 | $335.14 | 1.4× |
| Multiplan | 1 | 4 | $274.35 | $277.30 | $280.25 | 1.0× |
| First Health | 1 | 4 | $250.75 | $266.98 | $283.20 | 1.1× |
| WellCare | 2 | 4 | $334.81 | $334.81 | $334.81 | 1.0× |
| smarthealth | 2 | 4 | $446.42 | $446.42 | $446.42 | 1.0× |
| health partners | 2 | 3 | $280.25 | $280.25 | $315.47 | 1.1× |
| alliance | 3 | 3 | $360.81 | $360.81 | $360.81 | 1.0× |
| icare | 2 | 2 | $315.47 | $326.89 | $338.30 | 1.1× |
| illinicare | 1 | 2 | $84.39 | $202.39 | $320.39 | 3.8× |
| meridiancare | 1 | 2 | $88.61 | $204.50 | $320.39 | 3.6× |
| prevea 360 | 1 | 2 | $84.39 | $202.39 | $320.39 | 3.8× |
| quartz | 1 | 2 | $168.15 | $242.16 | $316.17 | 1.9× |
| centivo nw3 | 2 | 2 | $367.91 | $367.91 | $367.91 | 1.0× |
| centivo nw1 | 2 | 2 | $367.91 | $367.91 | $367.91 | 1.0× |
| cchp | 2 | 2 | $226.78 | $226.78 | $226.78 | 1.0× |
| Blue Cross Blue Shield | 1 | 2 | $281.86 | $2,109.43 | $3,937.00 | 14.0× |
| unitedhealth group of wi | 1 | 2 | $220.96 | $268.57 | $316.17 | 1.4× |
| aspirus | 1 | 2 | $84.39 | $202.39 | $320.39 | 3.8× |
| amish/mennonite | 1 | 2 | $162.25 | $162.25 | $162.25 | 1.0× |
| wps health insurance | 1 | 2 | $198.53 | $198.53 | $198.53 | 1.0× |
| community care incorporated | 1 | 1 | $315.47 | $315.47 | $315.47 | 1.0× |
| medical associates health plan | 1 | 1 | $280.17 | $280.17 | $280.17 | 1.0× |
| security health plan | 1 | 1 | $315.47 | $315.47 | $315.47 | 1.0× |
| allwell | 1 | 1 | $321.78 | $321.78 | $321.78 | 1.0× |
| managed health services | 1 | 1 | $316.17 | $316.17 | $316.17 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 2 | — | — | $3,990.00 | $5,749.00 | $6,159.00 |
| Childrens Wisconsin | Milwaukee | WI | 2 | — | — | $3,990.00 | $5,749.00 | $6,159.00 |
| Ssh - Fox Valley | Oshkosh | WI | 2 | — | — | $3,990.00 | $5,749.00 | $6,159.00 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | — | — | $147.34 | $402.25 | $402.25 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 7 | $1,185.00 | $628.05 | $147.34 | $381.53 | $710.36 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 7 | — | — | $147.34 | $381.53 | $710.36 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 4 | — | — | $337.06 | $337.06 | $471.88 |
| All Saints - St. Luke S Hospital | Racine | WI | 4 | — | — | $337.06 | $337.06 | $471.88 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 4 | $1,219.00 | $646.07 | $322.08 | $322.08 | $450.91 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 4 | — | — | $322.08 | $322.08 | $450.91 |
| Wheaton Franciscan - Franklin | Franklin | WI | 4 | — | — | $322.08 | $322.08 | $450.91 |
| Mosh | Franklin | WI | 4 | — | — | $322.08 | $322.08 | $450.91 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 4 | $1,219.00 | $646.07 | $322.08 | $322.08 | $450.91 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 9 | — | — | $96.43 | $318.87 | $669.63 |
| Mercy Medical Center | Oshkosh | WI | 9 | — | — | $96.43 | $318.87 | $669.63 |
| Holy Family Memorial Inc | Manitowoc | WI | 10 | — | — | $315.47 | $318.63 | $1,449.00 |
| Meriter Hospital Inc. | Madison | WI | 10 | — | — | $84.39 | $281.86 | $3,937.00 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 20 | $295.00 | $280.25 | $149.80 | $262.55 | $338.30 |
| Aurora Medical Center - Bay Area | Marinette | WI | 15 | — | — | $1,291.00 | $1,807.00 | $3,500.00 |
| Aurora Medical Center - Summit | Summit | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| West Allis Memorial Hospital | West Allis | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Aurora Medical Center - Hartford | Hartford | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Aurora Medical Center Kenosha | Kenosha | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Memorial Hospital Of Burlington | Burlington | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 15 | — | — | $1,183.00 | $1,789.00 | $3,500.00 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $1,110.00 | $555.00 | $477.30 | $1,492.00 | $3,500.00 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $1,110.00 | $555.00 | $477.30 | $1,492.00 | $3,500.00 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $1,110.00 | $555.00 | $477.30 | $1,300.00 | $3,500.00 |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $1,384.00 | $830.40 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $1,384.00 | $830.40 | — | — | — |
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.