Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (CPT 67105)
67105 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
168 of 2639 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $474.02 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $165 | $551 | $552.50 | 0.3× |
| Concord Hospital | Concord, NH | $213.60 | $712 | $587.26 | 0.4× |
| Concord Hospital – Laconia | Laconia, NH | $213.60 | $712 | $587.26 | 0.4× |
| Concord Hospital – Franklin | Franklin, NH | $213.60 | $712 | $587.26 | 0.4× |
| Mercy Hospital Joplin | Joplin, MO | $247 | $380 | $550.89 | 0.4× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $284 | $1,420 | $520.71 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $284 | $1,420 | $525.36 | 0.5× |
| Touro | New Orleans, LA | $311.64 | $2,226 | $516.26 | 0.6× |
| Unity Health - White County Medical Center | Searcy, AR | $341 | $1,364 | $500.79 | 0.7× |
| Unity Health - Jacksonville | Jacksonville, AR | $341 | $1,364 | $516.77 | 0.7× |
| Unity Health - Newport | Newport, AR | $341 | $1,364 | $500.79 | 0.7× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $356.19 | $1,187.30 | $527.66 | 0.7× |
| Duke University Hospital | Durham, NC | $361.26 | $1,338 | $547.28 | 0.7× |
| MUSC Health Black River Medical Center | Cades, SC | $367 | $734 | $511.54 | 0.7× |
| West Jefferson Medical Center | Marrero, LA | $374.40 | $2,340 | $516.26 | 0.7× |
| Mercy Hospital Springfield | Springfield, MO | $407.88 | $627.50 | $550.89 | 0.7× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $435.60 | $484 | $580.18 | 0.8× |
| Straub Benioff Medical Center | Honolulu, HI | $452.40 | $754 | $649.74 | 0.7× |
| Golden Valley Memorial Healthcare | Clinton, MO | $453.60 | $756 | $550.89 | 0.8× |
| Citizens Memorial Hospital | Bolivar, MO | $456 | $570 | $550.89 | 0.8× |
| Leonard J. Chabert Medical Center | Houma, LA | $463.42 | $986 | $512.32 | 0.9× |
| Tops Surgical Specialty Hospital | Houston, TX | $473.90 | $1,354 | $552.50 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $488.41 | $1,652.18 | $498.02 | 1.0× |
| Memorial Medical Center | Port Lavaca, TX | $493.84 | $705.49 | $552.50 | 0.9× |
| Denver Health Medical Center | Denver, CO | $497.95 | $1,422.71 | $580.18 | 0.9× |
| Memorial Hermann Hospital System | Houston, TX | $534.14 | $1,669.20 | $552.50 | 1.0× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $534.14 | $1,669.20 | $552.50 | 1.0× |
| Memorial Hermann Northeast Hospital | Humble, TX | $534.14 | $1,669.20 | $552.50 | 1.0× |
| Memorial Hermann Katy Hospital | Katy, TX | $534.14 | $1,669.20 | $552.50 | 1.0× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $534.14 | $1,669.20 | $552.50 | 1.0× |
| East Carroll Parish Hospital | Lake Providence, LA | $536.25 | $715 | $500.75 | 1.1× |
| University Medical Center New Orleans | New Orleans, LA | $543.84 | $2,472 | $498.02 | 1.1× |
| MUSC Health University Medical Center | Charleston, SC | $544 | $1,088 | $511.54 | 1.1× |
| Lakeside Medical Center | Belle Glade, FL | $550.67 | — | $574.35 | 1.0× |
| Manning Family Children's | New Orleans, LA | $555.12 | $2,056 | $516.26 | 1.1× |
| Harris Health | Houston, TX | $570.37 | $593 | $552.50 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $602.39 | — | $499.47 | 1.2× |
| Massachusetts Eye and Ear | Boston, MA | $636 | $848 | $659.14 | 1.0× |
| University Health Truman Medical Center | Kansas City, MO | $641.42 | $1,166.22 | $550.89 | 1.2× |
| University Health Lakewood Medical Center | Kansas City, MO | $641.42 | $1,166.22 | $550.89 | 1.2× |
| Griffin Hospital | Derby, CT | $655.84 | — | $659.35 | 1.0× |
| North Mississippi Medical Center-Hamilton | Hamilton, AL | $664.78 | $1,546 | $493.30 | 1.3× |
| North Mississippi Medical Center-Iuka | Iuka, MS | $664.78 | $1,546 | $498.12 | 1.3× |
| North Mississippi Medical Center-Tupelo | Tupelo, MS | $664.78 | $1,546 | $496.23 | 1.3× |
| North Mississippi Medical Center-Eupora | Eupora, MS | $664.78 | $1,546 | $488.45 | 1.4× |
| North Mississippi Medical Center Gilmore-Amory | Amory, MS | $664.78 | $1,546 | $474.18 | 1.4× |
| North Mississippi Medical Center-Pontotoc | Pontotoc, MS | $664.78 | $1,546 | $474.18 | 1.4× |
| Memorial Hermann Texas Medical Center | Houston, TX | $667.68 | $2,086.50 | $552.50 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $672.85 | — | $528.97 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $674.93 | $2,040 | $586.89 | 1.2× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $678.10 | $2,216 | $587.26 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $687.66 | — | $527.66 | 1.3× |
| Treasure Valley Hospital | Boise, ID | $696.54 | — | $555.71 | 1.3× |
| Wetzel County Hospital | New Martinsville, WV | $710 | $1,420 | $527.59 | 1.3× |
| M Health Fairview Lakes Medical Center | Wyoming, MN | $729.82 | $1,820 | $576.04 | 1.3× |
| M Health Fairview Southdale Hospital | Edina, MN | $729.82 | $1,820 | $576.04 | 1.3× |
| M Health Fairview University of Minnesota Medical Center | Minneapolis, MN | $729.82 | $1,820 | $576.04 | 1.3× |
| M Health Fairview Northland Medical Center | Princeton, MN | $729.82 | $1,820 | $576.04 | 1.3× |
| M Health Fairview St. John's Hospital | Maplewood, MN | $729.82 | $1,820 | $567.64 | 1.3× |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | $729.82 | $1,820 | $576.04 | 1.3× |
| Lawrence + Memorial Hospital | New London, CT | $741.33 | $2,059.26 | $659.35 | 1.1× |
| Parkland Memorial Hospital | Dallas, TX | $758.80 | $1,897 | $552.50 | 1.4× |
| JPS Health Network | Fort Worth, TX | $766.20 | $1,277 | $552.50 | 1.4× |
| M Health Fairview Ridges Hospital | Burnsville, MN | $773.50 | $1,820 | $567.64 | 1.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $801.50 | $2,290 | $580.18 | 1.4× |
| Cambridge Health Alliance | Cambridge, MA | $802 | $802 | $659.14 | 1.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $804 | $1,340 | $552.50 | 1.5× |
| United Hospital Center | Bridgeport, WV | $866 | $1,732 | $532.01 | 1.6× |
| Camden Clark Medical Center | Parkersburg, WV | $866 | $1,732 | $527.59 | 1.6× |
| Virginia Mason Medical Center | Seattle, WA | $898.62 | $1,762 | $638.68 | 1.4× |
| Madison Memorial Hospital | Rexburg, ID | $900 | $1,200 | $543.37 | 1.7× |
| Confluence Health Hospital | Central Campus | Wenatchee, WA | $987.30 | $1,097 | $632.54 | 1.6× |
| Lallie Kemp Regional Medical Center | Independence, LA | $994.72 | $1,657.87 | $498.02 | 2.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,004.68 | — | $511.54 | 2.0× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,004.68 | — | $511.54 | 2.0× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,004.68 | — | $511.54 | 2.0× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $1,019.50 | $2,039 | $533.42 | 1.9× |
| Reynolds Memorial Hospital | Glen Dale, WV | $1,022 | $2,044 | $527.59 | 1.9× |
| Boston Medical Center | Boston, MA | $1,032.30 | $2,294 | $659.14 | 1.6× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,062.70 | $3,664.50 | $525.19 | 2.0× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,062.70 | $3,664.50 | $522.13 | 2.0× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,062.70 | $3,664.50 | $527.66 | 2.0× |
| Bridgeport Hospital | Bridgeport, CT | $1,070.82 | $2,059.26 | $659.35 | 1.6× |
| Greenwich Hospital | Greenwich, CT | $1,070.82 | $2,059.26 | $659.35 | 1.6× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,118.48 | — | $528.97 | 2.1× |
| University Hospital | Columbia, MO | $1,121.40 | $1,869 | $550.89 | 2.0× |
| Bradley County Medical Center | Warren, AR | $1,136 | $2,272 | $500.79 | 2.3× |
| DeSoto Regional Health System | Mansfield, LA | $1,144.50 | $1,635 | $498.02 | 2.3× |
| Bristol Hospital | Bristol, CT | $1,147.85 | $2,087 | $659.35 | 1.7× |
| ChristianaCare | Newark, DE | $1,196.90 | $1,196.90 | $594.34 | 2.0× |
| Yale New Haven Hospital | New Haven, CT | $1,214.96 | $2,059.26 | $659.35 | 1.8× |
| MedStar Washington Hospital Center | Washington, DC | $1,329.37 | $2,045.18 | $649.74 | 2.0× |
| UVA Health Culpeper Medical Center | Culpeper, VA | $1,359 | $2,718 | $569.02 | 2.4× |
| UVA Health Prince William Medical Center | Manassas, VA | $1,359 | $2,718 | $569.02 | 2.4× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $1,359 | $2,718 | $569.02 | 2.4× |
| Nebraska Medical Center | Omaha, NE | $1,385.48 | $2,131.50 | $571.11 | 2.4× |
| Bellevue Medical Center | Bellevue, NE | $1,385.48 | $2,131.50 | $571.11 | 2.4× |
| Northwest Hills Surgical Hospital | Austin, TX | $1,394.64 | $3,874 | $552.50 | 2.5× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $1,401.08 | $2,335.13 | $552.50 | 2.5× |
| Scott & White Hospital-round Rock | Round Rock, TX | $1,401.08 | $2,335.13 | $552.50 | 2.5× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $1,401.08 | $2,335.13 | $552.50 | 2.5× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $1,401.08 | $2,335.13 | $552.50 | 2.5× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $1,401.08 | $2,335.13 | $552.50 | 2.5× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $1,535 | $1,535 | $573.34 | 2.7× |
| St. Luke's Boise Medical Center | Boise, ID | $1,535 | $1,535 | $593.87 | 2.6× |
| St. Luke's Nampa Medical Center | Nampa, ID | $1,535 | $1,535 | $555.71 | 2.8× |
| St. Luke's Jerome Medical Center | Jerome, ID | $1,535 | $1,535 | $545.76 | 2.8× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $1,535 | $1,535 | $543.37 | 2.8× |
| St. Luke's McCall Medical Center | McCall, ID | $1,535 | $1,535 | $543.37 | 2.8× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $1,535 | $1,535 | $543.37 | 2.8× |
| Charleston Area Medical Center | Charleston, WV | $1,537 | $1,537 | $527.59 | 2.9× |
| Southeast Health Medical Center | Dothan, AL | $1,570.08 | $3,925.22 | $529.85 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $1,586.91 | — | $528.97 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $1,586.91 | — | $528.97 | 3.0× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $1,650.62 | $2,751.03 | $552.50 | 3.0× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $1,650.62 | $2,751.03 | $552.50 | 3.0× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $1,650.62 | $2,751.03 | $552.50 | 3.0× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $1,650.62 | $2,751.03 | $552.50 | 3.0× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $1,650.62 | $2,751.03 | $552.50 | 3.0× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $1,663 | $1,663 | $527.59 | 3.2× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $1,675.80 | $2,793 | $552.50 | 3.0× |
| UAMS Medical Center | Little Rock, AR | $1,764.02 | $2,940.03 | $516.77 | 3.4× |
| Sentara Norfolk General Hospital | Norfolk, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Sentara Obici Hospital | Suffolk, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Sentara Leigh Hospital | Norfolk, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Sentara CarePlex Hospital | Hampton, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $1,805.50 | $3,611 | $536.62 | 3.4× |
| Cambridge Medical Center | Cambridge, MN | $1,866.31 | $3,332.70 | $576.04 | 3.2× |
| Owatonna Hospital | Owatonna, MN | $1,866.31 | $3,332.70 | $569.43 | 3.3× |
| Allina Health Faribault Medical Center | Faribault, MN | $1,866.31 | $3,332.70 | $572.06 | 3.3× |
| Buffalo Hospital | Buffalo, MN | $1,866.31 | $3,332.70 | $576.04 | 3.2× |
| St. Francis Regional Medical Center | Shakopee, MN | $1,866.31 | $3,332.70 | $576.04 | 3.2× |
| University of Kansas Hospital | Kansas City, KS | $1,904.90 | $9,524.49 | $513.50 | 3.7× |
| Vanderbilt University Hospital | Nashville, TN | $1,978.83 | $3,664.50 | $539.89 | 3.7× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $2,017.80 | $3,363 | $552.50 | 3.7× |
| Estes Park Medical Center | Estes Park, CO | $2,096.25 | $2,795 | $580.18 | 3.6× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $2,109.72 | $7,032.40 | $498.02 | 4.2× |
| UVA Health University Medical Center | Charlottesville, VA | $2,263.20 | $3,772 | $551.80 | 4.1× |
| Harborview Medical Center | Seattle, WA | $2,463.45 | $3,519.22 | $636.89 | 3.9× |
| Methodist Hospital | Omaha, NE | $2,579.76 | $7,166 | $571.11 | 4.5× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $2,646 | $4,410 | $552.50 | 4.8× |
| Tampa General Hospital | Tampa, FL | $2,667 | $7,620 | $574.35 | 4.6× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $2,747.94 | $10,991.76 | $516.77 | 5.3× |
| Tufts Medical Center | Boston, MA | $2,845.50 | $4,065 | $659.14 | 4.3× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $2,913 | $2,913 | $585.41 | 5.0× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $3,119.41 | $14,179.15 | $509.58 | 6.1× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $3,119.41 | $14,179.15 | $509.58 | 6.1× |
| Lincoln Surgical Hospital | Lincoln, NE | $4,050 | $4,050 | $571.11 | 7.1× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $4,090.40 | $4,090.40 | $552.50 | 7.4× |
| The Queen's Medical Center | Honolulu, HI | $4,096.40 | $5,852 | $649.74 | 6.3× |
| Cabell Huntington Hospital | Huntington, WV | $4,227.04 | $4,227.04 | $527.59 | 8.0× |
| Community Hospital Grand Junction | Grand Junction, CO | $4,263.84 | $7,614 | $580.18 | 7.3× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $4,298.34 | $8,596.66 | $532.01 | 8.1× |
| Community Hospital | McCook, NE | $5,918.92 | $6,576.58 | $571.11 | 10.4× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $5,971.90 | $10,858 | $550.89 | 10.8× |
| Beth Israel Deaconess Medical Center | Boston, MA | $6,838 | $6,838 | $659.14 | 10.4× |
| Arkansas Children's Hospital | Little Rock, AR | $7,322.45 | $8,136.06 | $516.77 | 14.2× |
| Thomas Memorial Hospital | South Charleston, WV | $7,551.50 | $15,103 | $527.59 | 14.3× |
| Lahey Hospital & Medical Center | Burlington, MA | $9,107 | $9,107 | $659.14 | 13.8× |
| Valley Medical Center | Renton, WA | $9,170.16 | $13,100.23 | $638.68 | 14.4× |
| Omega Hospital | Metairie, LA | $11,640.11 | $19,954.47 | $516.26 | 22.5× |
| UMass Memorial Medical Center | Worcester, MA | $13,107 | $13,107 | $659.14 | 19.9× |
| Seattle Children's Hospital | Seattle, WA | $24,995.65 | — | $638.68 | 39.1× |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $30,125.57 | $50,209.29 | $550.89 | 54.7× |
| Candler County Hospital | Metter, GA | — | $1,067 | $481.97 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.