Price AtlasInteractive atlas · All states · techysurgeon.comEye injection (intravitreal): what insurers pay
A drug injected into the eye, commonly for macular degeneration. The drug is billed separately. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 67028: Eye Injection (Intravitreal)
983 hospitals in 77 markets. National Medicare rate $337, surgery center $64.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $328 | $552 | $612 | $198–$1,006 |
| Alaska (statewide) | 3 | — | — | — | $349–$2,539 |
| Arizona (statewide) | 4 | — | — | — | $231–$2,032 |
| Arkansas (statewide) | 5 | $310 | $458 | $921 | $193–$931 |
| Atlanta GA | 10 | $1,343 | $1,828 | $1,867 | $1,343–$2,572 |
| Austin TX | 13 | $330 | $839 | $1,800 | $321–$1,800 |
| Boston MA | 11 | $618 | $704 | $816 | $320–$1,153 |
| California (statewide) | 56 | $550 | $979 | $1,255 | $364–$2,215 |
| Charlotte NC | 5 | $394 | $394 | $394 | $389–$394 |
| Chicago IL | 8 | $371 | $434 | $1,057 | $334–$1,698 |
| Cleveland OH | 11 | $540 | $901 | $1,208 | $344–$2,164 |
| Colorado (statewide) | 13 | $1,083 | $1,508 | $1,730 | $233–$2,182 |
| Connecticut (statewide) | 2 | — | — | — | $673–$3,181 |
| Dallas-Fort Worth TX | 14 | $496 | $996 | $2,082 | $496–$2,218 |
| Denver CO | 15 | $1,086 | $1,896 | $2,020 | $1,083–$2,444 |
| Detroit MI | 12 | $443 | $672 | $672 | $325–$1,137 |
| Florida (statewide) | 65 | $694 | $1,463 | $1,999 | $198–$2,428 |
| Georgia (statewide) | 33 | $1,313 | $1,622 | $1,867 | $863–$2,572 |
| Hawaii (statewide) | 3 | — | — | — | $350–$847 |
| Houston TX | 18 | $922 | $1,812 | $1,934 | $533–$2,052 |
| Idaho (statewide) | 9 | $554 | $842 | $842 | $332–$1,067 |
| Illinois (statewide) | 21 | $497 | $789 | $1,032 | $336–$1,296 |
| Indiana (statewide) | 25 | $284 | $524 | $700 | $284–$2,758 |
| Indianapolis IN | 3 | — | — | — | $284–$284 |
| Iowa (statewide) | 13 | $565 | $623 | $718 | $178–$999 |
| Kansas (statewide) | 11 | $422 | $977 | $1,335 | $370–$2,255 |
| Kentucky (statewide) | 14 | $486 | $1,152 | $1,913 | $404–$2,447 |
| Las Vegas NV | 1 | — | — | — | $725–$725 |
| Los Angeles CA | 16 | $758 | $963 | $1,181 | $551–$2,344 |
| Louisiana (statewide) | 20 | $352 | $446 | $669 | $253–$949 |
| Maine (statewide) | 15 | $1,359 | $1,559 | $1,578 | $864–$1,984 |
| Massachusetts (statewide) | 3 | — | — | — | $330–$546 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $619–$619 |
| Michigan (statewide) | 18 | $272 | $338 | $474 | $175–$672 |
| Minneapolis-St. Paul MN | 6 | $787 | $872 | $879 | $703–$886 |
| Minnesota (statewide) | 11 | $872 | $931 | $1,122 | $606–$1,497 |
| Mississippi (statewide) | 10 | $244 | $388 | $674 | $244–$798 |
| Missouri (statewide) | 12 | $233 | $758 | $820 | $193–$1,120 |
| Montana (statewide) | 4 | — | — | — | $697–$1,085 |
| Nashville TN | 8 | $507 | $1,071 | $1,522 | $445–$2,054 |
| Nebraska (statewide) | 13 | $376 | $456 | $1,044 | $372–$1,235 |
| New Hampshire (statewide) | 6 | $1,198 | $1,452 | $1,658 | $1,053–$1,816 |
| New Jersey (statewide) | 14 | $1,011 | $1,986 | $2,220 | $391–$2,526 |
| New Mexico (statewide) | 5 | $483 | $510 | $651 | $350–$965 |
| New York (statewide) | 32 | $615 | $736 | $926 | $214–$3,109 |
| New York City | 8 | $808 | $926 | $934 | $418–$1,253 |
| North Carolina (statewide) | 5 | $349 | $818 | $818 | $176–$876 |
| North Dakota (statewide) | 5 | $574 | $598 | $774 | $458–$1,262 |
| Ohio (statewide) | 36 | $647 | $873 | $1,164 | $204–$1,590 |
| Oklahoma (statewide) | 13 | $498 | $631 | $731 | $177–$1,235 |
| Oregon (statewide) | 8 | $816 | $924 | $1,282 | $586–$1,574 |
| Pennsylvania (statewide) | 23 | $614 | $876 | $1,150 | $416–$1,520 |
| Philadelphia PA | 8 | $1,200 | $1,468 | $1,594 | $716–$1,611 |
| Phoenix AZ | 8 | $2,000 | $2,016 | $2,056 | $2,000–$2,130 |
| Pittsburgh PA | 7 | $548 | $571 | $625 | $425–$1,245 |
| Portland OR | 9 | $1,222 | $1,222 | $1,341 | $979–$1,341 |
| Research Triangle NC | 1 | — | — | — | $1,350–$1,350 |
| Rhode Island (statewide) | 4 | — | — | — | $482–$1,617 |
| Richmond VA | 3 | — | — | — | $1,812–$2,123 |
| Rio Grande Valley TX | 3 | — | — | — | $424–$2,115 |
| Salt Lake City UT | 9 | $298 | $298 | $302 | $285–$308 |
| San Antonio TX | 3 | — | — | — | $530–$1,913 |
| San Diego CA | 1 | — | — | — | $732–$732 |
| San Francisco Bay Area CA | 3 | — | — | — | $1,077–$3,021 |
| Seattle-Tacoma WA | 16 | $1,040 | $1,056 | $1,128 | $891–$1,206 |
| South Carolina (statewide) | 30 | $747 | $1,080 | $1,242 | $498–$1,631 |
| South Dakota (statewide) | 2 | — | — | — | $525–$612 |
| Tampa FL | 6 | $1,414 | $1,414 | $1,414 | $972–$1,921 |
| Tennessee (statewide) | 23 | $540 | $735 | $930 | $316–$2,054 |
| Texas (statewide) | 65 | $496 | $996 | $1,672 | $219–$2,447 |
| Utah (statewide) | 6 | $300 | $308 | $1,169 | $282–$1,456 |
| Vermont (statewide) | 2 | — | — | — | $311–$459 |
| Virginia (statewide) | 15 | $1,118 | $1,712 | $1,784 | $713–$2,464 |
| Washington (statewide) | 11 | $893 | $932 | $1,150 | $702–$1,929 |
| Washington DC | 6 | $864 | $1,427 | $2,280 | $635–$2,425 |
| West Virginia (statewide) | 9 | $209 | $293 | $420 | $206–$2,199 |
| Wisconsin (statewide) | 35 | $828 | $1,420 | $1,894 | $346–$2,465 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Corewell Health Zeeland Hospital | Michigan (statewide) | $175 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Big Rapids Hospital | Michigan (statewide) | $175 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Gerber Hospital | Michigan (statewide) | $175 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Pennock Hospital | Michigan (statewide) | $175 | 0.5× | 1 | 2026-05-01 |
| Novant Health Forsyth Medical Center | North Carolina (statewide) | $176 | 0.6× | 5 | 2026-03-30 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $177 | 0.6× | 2 | 2026-01-01 |
| Waverly Health Center | Iowa (statewide) | $178 | 0.6× | 2 | 2026-03-03 |
| Bradley County Medical Center | Arkansas (statewide) | $193 | 0.6× | 1 | 2026-04-08 |
| Mercy Hospital Joplin | Missouri (statewide) | $193 | 0.6× | 13 | 2026-06-09 |
| Mercy Hospital Springfield | Missouri (statewide) | $193 | 0.6× | 14 | 2026-06-04 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $198 | 0.7× | 2 | 2026-04-30 |
| Baptist Hospital | Florida (statewide) | $198 | 0.6× | 10 | 2025-12-23 |
| Chi St Joseph Health Regional Hospital | Texas (statewide) | $2,447 | 7.4× | 1 | 2026-02-28 |
| Lewisgale Medical Center | Virginia (statewide) | $2,464 | 7.7× | 2 | 2026-09-01 |
| Gundersen St Josephs Hospital And Clinics | Wisconsin (statewide) | $2,465 | 7.5× | 1 | 2026-06-27 |
| Jersey Shore University Medical Center | New Jersey (statewide) | $2,526 | 6.8× | 2 | 2025-12-31 |
| Alaska Regional Hospital | Alaska (statewide) | $2,539 | 6.9× | 1 | 2026-09-01 |
| Wellstar Kennestone Hospital | Atlanta GA | $2,572 | 7.7× | 3 | 2026-04-01 |
| Wellstar Paulding Medical Center | Georgia (statewide) | $2,572 | 7.7× | 3 | 2026-04-01 |
| Wellstar Cobb Medical Center | Georgia (statewide) | $2,572 | 7.7× | 3 | 2026-04-01 |
| Parkview Noble Hospital | Indiana (statewide) | $2,758 | 7.9× | 1 | 2026-09-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $3,021 | 6.2× | 5 | 2026-09-01 |
| Samaritan Hospital | New York (statewide) | $3,109 | 7.5× | 16 | 2026-03-31 |
| Uconn Health Waterbury Hospital | Connecticut (statewide) | $3,181 | 7.9× | 1 | 2026-05-13 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for eye injection (intravitreal)?
Across 983 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 67028, hospital outpatient is $931, 2.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $532 to $1,417. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for eye injection (intravitreal)?
Medicare's national hospital outpatient rate for CPT 67028 is $337 and its surgery-center rate is $64, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for eye injection (intravitreal)?
Lowest medians: Corewell Health Zeeland Hospital ($175), Corewell Health Big Rapids Hospital ($175), Corewell Health Gerber Hospital ($175). Highest: Uconn Health Waterbury Hospital ($3,181), Samaritan Hospital ($3,109), Good Samaritan Hospital ($3,021). Coverage: every hospital whose price file we could read.