▸ Compare · PriceTransparency
Intravitreal injection
CPT 67028 · negotiated-rate distribution across hospitals in WI
Hospitals
31
Min
$262.55
Median
$1,300
Max
$5,749
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 | $3,990 | 47.3× |
| Anthem BCBS | 20 | 56 | $84.39 | $1,183 | $6,159 | 73.0× |
| wisconsin physician service | 12 | 36 | $2,115 | $2,226 | $2,226 | 1.1× |
| common ground | 12 | 36 | $1,300 | $1,492 | $1,492 | 1.1× |
| Molina | 18 | 25 | $250.75 | $710.36 | $1,825 | 7.3× |
| Medicare | 10 | 20 | $318.87 | $322.08 | $337.06 | 1.1× |
| VA Health | 10 | 20 | $318.87 | $322.08 | $337.06 | 1.1× |
| Cigna | 13 | 19 | $200.6 | $3,500 | $3,500 | 17.4× |
| Aetna | 12 | 18 | $916.86 | $1,894 | $1,894 | 2.1× |
| Humana | 6 | 17 | $88.61 | $402.25 | $402.25 | 4.5× |
| trilogy | 13 | 16 | $265.5 | $2,340 | $2,340 | 8.8× |
| health payment systems | 13 | 14 | $205.32 | $2,300 | $2,300 | 11.2× |
| healthpartners | 3 | 12 | $477.3 | $738.15 | $832.5 | 1.7× |
| aurora caregiver | 12 | 12 | $1,300 | $1,300 | $1,300 | 1.0× |
| smart health | 6 | 12 | $450.91 | $450.91 | $471.88 | 1.0× |
| centivo | 12 | 12 | $1,967 | $1,967 | $1,967 | 1.0× |
| quartz one | 12 | 12 | $1,670 | $1,670 | $1,670 | 1.0× |
| quartz group | 12 | 12 | $1,950 | $1,950 | $1,950 | 1.0× |
| everpointe elite | 12 | 12 | $1,291 | $1,291 | $1,291 | 1.0× |
| hs technology | 12 | 12 | $2,138 | $2,138 | $2,138 | 1.0× |
| network health plan | 5 | 9 | $147.34 | $246.32 | $927.42 | 6.3× |
| health eos | 3 | 6 | $888 | $888 | $888 | 1.0× |
| wps | 6 | 6 | $371.77 | $371.77 | $371.77 | 1.0× |
| health eos plus | 3 | 6 | $666 | $666 | $666 | 1.0× |
| security health plan (shp) | 1 | 5 | $153.34 | $170.39 | $316.17 | 2.1× |
| group health cooperative of eau claire | 1 | 5 | $241.9 | $280.25 | $335.14 | 1.4× |
| Multiplan | 1 | 4 | $274.35 | $277.3 | $280.25 | 1.0× |
| First Health | 1 | 4 | $250.75 | $266.98 | $283.2 | 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 | $338.3 | 1.1× |
| illinicare | 1 | 2 | $84.39 | $202.39 | $320.39 | 3.8× |
| meridiancare | 1 | 2 | $88.61 | $204.5 | $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 | 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 WISCONSIN | MILWAUKEE | WI | 2 | — | — | $3,990 | $5,749 | $6,159 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 2 | — | — | $3,990 | $5,749 | $6,159 |
| SSH - FOX VALLEY | OSHKOSH | WI | 2 | — | — | $3,990 | $5,749 | $6,159 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | — | — | $147.34 | $402.25 | $402.25 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 7 | — | — | $147.34 | $381.53 | $710.36 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 7 | $1,185 | $628.05 | $147.34 | $381.53 | $710.36 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 4 | — | — | $337.06 | $337.06 | $471.88 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 4 | $1,219 | $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 | $646.07 | $322.08 | $322.08 | $450.91 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 9 | — | — | $96.43 | $318.87 | $669.63 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 9 | — | — | $96.43 | $318.87 | $669.63 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $315.47 | $318.63 | $1,449 |
| MERITER HOSPITAL INC. | MADISON | WI | 10 | — | — | $84.39 | $281.86 | $3,937 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 20 | $295 | $280.25 | $149.8 | $262.55 | $338.3 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 15 | — | — | $1,291 | $1,807 | $3,500 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 15 | — | — | $1,183 | $1,789 | $3,500 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $1,110 | $555 | $477.3 | $1,492 | $3,500 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $1,110 | $555 | $477.3 | $1,492 | $3,500 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $1,110 | $555 | $477.3 | $1,300 | $3,500 |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $1,384 | $830.4 | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $1,384 | $830.4 | — | — | — |
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.