Dstrj Lesion Choroid Photodynamic Therapy (CPT 67221)

67221 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.

217 of 4255 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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HospitalLocationPosted cashPosted grossMedicare pays× Medicare
Washington County Hospital and Nursing Home Chatom, AL $54.17 — $496.57 0.1×
Ochsner Lafayette General Medical Center Lafayette, LA $78.87 $239 $498.02 0.2×
Westfield Memorial Hospital, Inc Westfield, NY $126.50 $575 $686.55 0.2×
Nacogdoches Memorial Hospital Nacogdoches, TX $155 $515 $552.50 0.3×
Mercy Hospital Joplin
range across 3 matching MRF lines
Joplin, MO $171.60–$568.75 $264–$875 $550.89 varies
Mercy Hospital Springfield
range across 3 matching MRF lines
Springfield, MO $171.60–$568.75 $264–$875 $550.89 varies
Community Hospital McCook, NE $203.67 $226.30 $571.11 0.4×
East Carroll Parish Hospital Lake Providence, LA $214.50 $286 $500.75 0.4×
Concord Hospital Concord, NH $217.20 $724 $587.26 0.4×
Concord Hospital – Laconia Laconia, NH $217.20 $724 $587.26 0.4×
Concord Hospital – Franklin Franklin, NH $217.20 $724 $587.26 0.4×
MUSC Health Black River Medical Center Cades, SC $233.50 $467 $511.54 0.5×
Straub Benioff Medical Center Honolulu, HI $252.60 $421 $649.74 0.4×
Parkland Memorial Hospital Dallas, TX $263.60 $659 $552.50 0.5×
University of Kansas Hospital Kansas City, KS $284 $1,420 $513.50 0.6×
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×
Bayside Community Hospital Anahuac, TX $303 $303 $552.50 0.5×
Nebraska Medical Center
range across 2 matching MRF lines
Omaha, NE $312–$648.38 $480–$997.50 $571.11 varies
Bellevue Medical Center
range across 2 matching MRF lines
Bellevue, NE $312–$648.38 $480–$997.50 $571.11 varies
Touro New Orleans, LA $315.98 $2,257 $516.26 0.6×
Vanderbilt Bedford Hospital
range across 2 matching MRF lines
Shelbyville, TN $316.39–$551.29 $1,091–$1,901 $525.19 varies
Vanderbilt Tullahoma-Harton Hospital
range across 2 matching MRF lines
Tullahoma, TN $316.39–$551.29 $1,091–$1,901 $522.13 varies
Vanderbilt Wilson County Hospital
range across 2 matching MRF lines
Lebanon, TN $316.39–$551.29 $1,091–$1,901 $527.66 varies
Loyola Gottlieb Memorial Hospital Melrose Park, IL $327.37 $1,723 $589.39 0.6×
Boston Medical Center Boston, MA $345.60 $768 $659.14 0.5×
MUSC Health University Medical Center Charleston, SC $346.50 $693 $511.54 0.7×
Torrance Memorial Medical Center
range across 13 matching MRF lines
Torrance, CA $350.14–$31,644.62 $427–$38,591 $707.39 varies
Ochsner University Hospital & Clinics Lafayette, LA $359.84 $1,384 $498.02 0.7×
Duke University Hospital Durham, NC $361.26 $1,338 $547.28 0.7×
Uci Health-orange Orange, CA $369.20 $923 $707.39‡ 0.5×
West Jefferson Medical Center Marrero, LA $379.36 $2,371 $516.26 0.7×
Loyola University Medical Center Maywood, IL $396.29 $1,723 $589.39 0.7×
Denver Health Medical Center Denver, CO $403.26 $1,152.16 $580.18 0.7×
Ochsner LSU Health - Monroe Medical Center Monroe, LA $417.91 $1,817 $498.02 0.8×
Ucsf Medical Center
range across 3 matching MRF lines
San Francisco, CA $419.40–$642.30 $1,398–$2,141 $804.55 varies
Hurley Medical Center Flint, MI $426 $426 $548.02 0.8×
Ochsner Medical Center - New Orleans New Orleans, LA $436.04 $1,982 $516.26 0.8×
Washington Regional Medical Center Fayetteville, AR $471 $628 $518.52 0.9×
Nassau University Medical Center
range across 2 matching MRF lines
East Meadow, NY $471.86–$1,457.40 $674.08–$2,082 $686.55 varies
Gundersen Lutheran Medical Center La Crosse, WI $478.80 $1,197 $582.75 0.8×
UK Albert B. Chandler Hospital Lexington, KY $484.38 $1,210.95 $537.13 0.9×
DeSoto Regional Health System Mansfield, LA $486.50 $695 $498.02 1.0×
MetroHealth System Cleveland, OH $504.65 $1,441.87 $520.34 1.0×
Mt Sinai Hospital Medical Center Chicago, IL $507.17 $724.53 $589.39 0.9×
Holy Cross Hospital Chicago, IL $507.17 $724.53 $589.39 0.9×
Ochsner LSU Health - St. Mary Medical Center Shreveport, LA $508.76 $1,817 $498.02 1.0×
Blessing Hospital Quincy, IL $520.31 $867.17 $589.39 0.9×
Charleston Area Medical Center Charleston, WV $522 $522 $527.59 1.0×
Spanish Peaks Regional Health Center Walsenburg, CO $529.20 $588 $580.18 0.9×
Lakeside Medical Center Belle Glade, FL $550.67 — $574.35 1.0×
University Medical Center New Orleans New Orleans, LA $551.54 $2,507 $498.02 1.1×
Treasure Valley Hospital Boise, ID $553.59 — $555.71 1.0×
Bellin Memorial Hospital Green Bay, WI $554.21 $1,197 $534.23 1.0×
University of Illinois Hospital and Clinics Chicago, IL $561 $1,870 $589.39 1.0×
St. Joseph's Medical Center Yonkers, NY $561.91 — $686.55 0.8×
Manning Family Children's New Orleans, LA $562.68 $2,084 $516.26 1.1×
Ochsner LSU Health - Academic Medical Center Shreveport, LA $563.27 $1,817 $530.62 1.1×
Waverly Health Center Waverly, IA $568.36 $1,093 $528.73 1.1×
CAMC Greenbrier Valley Medical Center Ronceverte, WV $571 $571 $527.59 1.1×
Dartmouth Hitchcock Medical Center Lebanon, NH $574.36 $1,877 $587.26 1.0×
Titus Regional Medical Center Mount Pleasant, TX $585 $975 $552.50 1.1×
Vanderbilt University Hospital
range across 2 matching MRF lines
Nashville, TN $589.14–$1,026.54 $1,091–$1,901 $539.89 varies
Our Lady of the Lake Surgical Hospital Slidell, LA $602.39 — $499.47 1.2×
Ochsner Medical Center - Baton Rouge Baton Rouge, LA $602.56 $1,883 $498.02 1.2×
Lima Memorial Health System Lima, OH $631.80 $702 $525.16 1.2×
Massachusetts Eye and Ear Boston, MA $637.50 $850 $659.14 1.0×
Lincoln Medical & Mental Health Center Bronx, NY $649.19 $1,559.51 $686.55 0.9×
Jacobi Medical Center Bronx, NY $649.19 $2,210.36 $686.55 0.9×
Elmhurst Hospital Center Elmhurst, NY $649.19 $1,559.51 $686.55 0.9×
NYC Health + Hospitals/South Brooklyn Health Brooklyn, NY $649.19 $1,559.51 $686.55 0.9×
Metropolitan Hospital Center New York, NY $649.19 $1,559.51 $686.55 0.9×
Kings County Hospital Center Brooklyn, NY $649.19 $2,210.36 $686.55 0.9×
Bellevue Hospital Center New York, NY $649.19 $2,210.36 $686.55 0.9×
Queens Hospital Center Jamaica, NY $649.19 $2,210.36 $686.55 0.9×
Harlem Hospital Center New York, NY $649.19 $1,559.51 $686.55 0.9×
Woodhull Medical & Mental Health Center Brooklyn, NY $649.19 $2,210.36 $686.55 0.9×
Highland Hospital Rochester, NY $652.84 — $686.55 1.0×
Strong Memorial Hospital
range across 2 matching MRF lines
Rochester, NY $652.84–$2,425.05 — $686.55 varies
Cedar-sinai Marina Del Rey Hospital
range across 13 matching MRF lines
Marina Del Rey, CA $655.63–$18,447.52 $1,008.66–$28,380.80 $707.39 varies
Griffin Hospital Derby, CT $655.84 — $659.35 1.0×
Montefiore Medical Center Bronx, NY $666.73 $1,019.46 $686.55 1.0×
Confluence Health Hospital | Central Campus
range across 2 matching MRF lines
Wenatchee, WA $668.70–$987.30 $743–$1,097 $632.54 varies
Summit Medical Center, LLC Edmond, OK $672.85 — $528.97 1.3×
Valleywise Health Medical Center Phoenix, AZ $674.93 — $586.89 1.2×
University of Michigan Health Ann Arbor, MI $683.60 $1,709 $548.02 1.2×
Nyack Hospital Nyack, NY $686.55 — $686.55 1.0×
Montefiore St. Luke's Cornwall Newburgh, NY $686.55 — $686.55 1.0×
Saint Thomas Hospital for Specialty Surgery Nashville, TN $687.66 — $527.66 1.3×
J.W. Ruby Memorial Hospital
range across 4 matching MRF lines
Morgantown, WV $702.50–$1,978 $1,405–$3,956 $532.01 varies
Scripps Mercy Hospital
range across 2 matching MRF lines
San Diego, CA $726.71–$1,089.94 $2,906.85–$4,359.76 $707.39 varies
Scripps Memorial Hospital La Jolla
range across 2 matching MRF lines
La Jolla, CA $726.71–$1,089.94 $2,906.85–$4,359.76 $707.39 varies
Scripps Green Hospital
range across 2 matching MRF lines
La Jolla, CA $726.71–$1,089.94 $2,906.85–$4,359.76 $707.39 varies
Scripps Memorial Hospital - Encinitas
range across 2 matching MRF lines
Encinitas, CA $726.71–$1,089.94 $2,906.85–$4,359.76 $707.39 varies
University Hospital Columbia, MO $751.80 $1,253 $550.89 1.4×
St. John's Medical Center Jackson, WY $753 $753 $561.91 1.3×
Henry Ford Macomb Hospital Clinton Township, MI $756.27 $1,201 $548.02 1.4×
Henry Ford Hospital Detroit, MI $756.27 $1,201 $548.02 1.4×
Henry Ford Wyandotte Hospital Wyandotte, MI $756.27 $1,201 $548.02 1.4×
Henry Ford West Bloomfield Hospital West Bloomfield, MI $756.27 $1,201 $548.02 1.4×
Sidney Health Center Sidney, MT $762.86 $1,232 $561.91 1.4×
M Health Fairview Lakes Medical Center Wyoming, MN $782.76 $1,952 $576.04 1.4×
M Health Fairview Southdale Hospital Edina, MN $782.76 $1,952 $576.04 1.4×
M Health Fairview University of Minnesota Medical Center Minneapolis, MN $782.76 $1,952 $576.04 1.4×
M Health Fairview Northland Medical Center Princeton, MN $782.76 $1,952 $576.04 1.4×
M Health Fairview St. John's Hospital Maplewood, MN $782.76 $1,952 $567.64 1.4×
M Health Fairview Woodwinds Hospital Woodbury, MN $782.76 $1,952 $576.04 1.4×
UAMS Medical Center Little Rock, AR $795 $1,325 $516.77 1.5×
Northwest Hills Surgical Hospital Austin, TX $812.52 $2,257 $552.50 1.5×
M Health Fairview Ridges Hospital Burnsville, MN $829.60 $1,952 $567.64 1.5×
Stanford Health Care Stanford, CA $874 $2,185 $808.97 1.1×
Dunes Surgical Hospital Dakota Dunes, SD $889.73 — $561.91 1.6×
Virginia Mason Medical Center Seattle, WA $916.47 $1,797 $638.68 1.4×
Omega Hospital
range across 2 matching MRF lines
Metairie, LA $928.85–$22,351.37 $1,592.31–$38,316.63 $516.26 varies
Cedars-sinai Medical Center
range across 9 matching MRF lines
Los Angeles, CA $936.62–$24,184.55 $1,440.95–$37,207 $707.39 varies
Erie County Medical Center Buffalo, NY $954 — $686.55 1.4×
John H Stroger Jr Hospital Chicago, IL $983.50 $1,405 $589.39 1.7×
Provident Hospital of Chicago Chicago, IL $983.50 $1,405 $589.39 1.7×
New York-Presbyterian Hospital New York, NY $1,001 — $686.55 1.5×
Froedtert Memorial Lutheran Hospital Milwaukee, WI $1,013.65 $1,843 $556.58 1.8×
University of California Davis Medical Center Sacramento, CA $1,014 $2,535 $713.79 1.4×
Mercyhealth Fhn Hospital Freeport, IL $1,028 $1,285 $589.39 1.7×
Tufts Medical Center
range across 2 matching MRF lines
Boston, MA $1,031.80–$1,547.70 $1,474–$2,211 $659.14 varies
Kaiser Foundation Hospital - Panorama City Panorama City, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - Los Angeles Los Angeles, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - Downey Downey, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital Fontana Fontana, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - South Bay Harbor City, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - Zion San Diego, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - West La Los Angeles, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - Orange County - Anahe Anaheim, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital, Riverside Riverside, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital-moreno Valley Moreno Valley, CA $1,050.40 $2,020 $707.39 1.5×
Kaiser Foundation Hospital - San Marcos San Marcos, CA $1,050.40 $2,020 $707.39 1.5×
University of WI Hospitals & Clinics Authority Madison, WI $1,054.20 $1,757 $534.23 2.0×
Hilton Head Medical Center Hilton Head Island, SC $1,111.90 — $511.54 2.2×
East Cooper Medical Center Mount Pleasant, SC $1,111.90 — $511.54 2.2×
Coastal Carolina Medical Center Hardeeville, SC $1,111.90 — $511.54 2.2×
Baylor Scott & White Medical Center -taylor Taylor, TX $1,117.62 $1,862.70 $552.50 2.0×
Scott & White Hospital-round Rock Round Rock, TX $1,117.62 $1,862.70 $552.50 2.0×
Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX $1,117.62 $1,862.70 $552.50 2.0×
Baylor Scott & White Medical Center - Buda Buda, TX $1,117.62 $1,862.70 $552.50 2.0×
Baylor Scott & White Medical Center- Austin Austin, TX $1,117.62 $1,862.70 $552.50 2.0×
Duncan Regional Hospital, Inc Duncan, OK $1,118.48 — $528.97 2.1×
Memorial Sloan Kettering Cancer Center New York, NY $1,143 $1,143 $686.55 1.7×
Huntington Hospital
range across 12 matching MRF lines
Pasadena, CA $1,147.80–$15,116.08 $1,765.84–$23,255.50 $707.39 varies
Harborview Medical Center Seattle, WA $1,232.50 $1,760.72 $636.89 1.9×
Pali Momi Medical Center Aiea, HI $1,253.40 $2,089 $649.74 1.9×
OHSU Hospital and Clinics Portland, OR $1,259.05 $1,937 $617.61 2.0×
Baylor Scott & White Medical Center - Temple Temple, TX $1,289.80 $2,149.66 $552.50 2.3×
Baylor Scott & White Medical Center - Hillcrest Waco, TX $1,289.80 $2,149.66 $552.50 2.3×
Baylor Scott & White Medical Center- College Stati College Station, TX $1,289.80 $2,149.66 $552.50 2.3×
Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX $1,289.80 $2,149.66 $552.50 2.3×
Baylor Scott & White Hospital Brenham Brenham, TX $1,289.80 $2,149.66 $552.50 2.3×
UF Health Jacksonville Jacksonville, FL $1,357.32 $2,467.85 $574.35 2.4×
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×
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×
Cleveland Clinic Cleveland, OH $1,640.60 $2,524 $520.34 3.2×
UCHealth University of Colorado Hospital Aurora, CO $1,679.65 $4,799 $580.18 2.9×
The University of Chicago Medical Center Chicago, IL $1,736 $1,736 $589.39 2.9×
Stony Brook University Hospital Stony Brook, NY $1,828 $1,828 $686.55 2.7×
Longmont United Hospital Longmont, CO $1,853.01 $4,632.52 $586.62 3.2×
St. Anthony Hospital Lakewood, CO $1,853.01 $4,632.52 $580.18 3.2×
Penrose Hospital Colorado Springs, CO $1,853.01 $4,632.52 $580.18 3.2×
St. Anthony North Health Campus Westminster, CO $1,853.01 $4,632.52 $580.18 3.2×
OrthoColorado Hospital Lakewood, CO $1,853.01 $4,632.52 $580.18 3.2×
St. Francis Hospital Interquest Colorado Springs, CO $1,853.01 $4,632.52 $580.18 3.2×
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA $2,010.40 $3,590 $798.59 2.5×
Kaiser Foundation Hospital-santa Clara Santa Clara, CA $2,010.40 $3,590 $795.01 2.5×
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA $2,010.40 $3,590 $780.92 2.6×
Kaiser Foundation Hospital and Rehab Center Vallejo, CA $2,010.40 $3,590 $808.03 2.5×
Kaiser Foundation Hospital - Oakland/richmond Oakland, CA $2,010.40 $3,590 $804.55 2.5×
Kaiser Foundation Hospital - San Francisco San Francisco, CA $2,010.40 $3,590 $795.01 2.5×
Kaiser Foundation Hospital - Sacramento Sacramento, CA $2,010.40 $3,590 $780.92 2.6×
Kaiser Foundation Hospital San Rafael, CA $2,010.40 $3,590 $780.11 2.6×
Kaiser Foundation Hospital - Fremont Fremont, CA $2,010.40 $3,590 $795.01 2.5×
Kaiser Foundation Hospital - Redwood City Redwood City, CA $2,010.40 $3,590 $798.59 2.5×
Kaiser Foundation Hospital-san Jose San Jose, CA $2,010.40 $3,590 $808.97 2.5×
Kaiser Foundation Hosp So Sacramento Sacramento, CA $2,010.40 $3,590 $780.92 2.6×
Kaiser Foundation Hospital-santa Rosa Santa Rosa, CA $2,010.40 $3,590 $756.31 2.7×
Kaiser Foundation Hospital - Fresno Fresno, CA $2,010.40 $3,590 $707.39 2.8×
Kaiser Foundation Hospital Manteca Manteca, CA $2,010.40 $3,590 $770.70 2.6×
Kaiser Foundation Hospital - Antioch Antioch, CA $2,010.40 $3,590 $776.64 2.6×
Kaiser Foundation Hospital - Vacaville Vacaville, CA $2,010.40 $3,590 $808.03 2.5×
Kaiser Foundation Hospital - Roseville Roseville, CA $2,010.40 $3,590 $713.79 2.8×
Kaiser Foundation Hospital - San Leandro San Leandro, CA $2,010.40 $3,590 $795.11 2.5×
Cleveland Clinic Martin North Hospital Stuart, FL $2,050.75 $3,155 $574.35 3.6×
New York Eye and Ear Infirmary of Mount Sinai New York, NY $2,091.35 $2,323.72 $686.55 3.0×
University of Iowa Health Care Medical Center Downtown Iowa City, IA $2,094.40 $2,992 $528.73 4.0×
University of Iowa Health Care Medical Center Iowa City, IA $2,094.40 $2,992 $528.73 4.0×
Mayo Clinic Hospital - Rochester Rochester, MN $2,105.74 $2,366 $592.49 3.6×
Carle Bromenn Medical Center Normal, IL $2,170 $2,170 $589.39 3.7×
Carle Eureka Hospital Eureka, IL $2,170 $2,170 $589.39 3.7×
Keck Hospital of Usc Los Angeles, CA $2,308.50 $2,308.50 $707.39 3.3×
Santa Clara Valley Medical Center San Jose, CA $2,609.60 $3,728 $808.97 3.2×
Regional Medical Center of San Jose San Jose, CA $2,609.60 $3,728 $808.97 3.2×
Alaska Native Medical Center Anchorage, AK $2,845 $2,845 $610.39 4.7×
The Carle Foundation Hospital Urbana, IL $3,045 $3,045 $589.39 5.2×
Lahey Hospital & Medical Center Burlington, MA $3,376 $3,376 $659.14 5.1×
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA $4,818 $8,760 $707.39 6.8×
The Queen's Medical Center Honolulu, HI $5,099.50 $7,285 $649.74 7.8×
Sacred Heart Medical Center Riverbend
range across 3 matching MRF lines
Springfield, OR $6,010.34–$8,183.50 $9,246.67–$12,590 $613.63 varies
Graham Hospital Association Canton, IL — $668.22 $589.39 —
Ohio State University Hospitals Columbus, OH — $1,567 $541.92 —
James Cancer Hospital & Solove Research Institute Columbus, OH — $1,567 $530.32 —
Macneal Hospital Berwyn, IL — $1,723 $589.39 —
Henry Ford Jackson Hospital Jackson, MI — $2,211 $550.55 —
Upstate University Hospital Syracuse, NY — $3,263 $686.55 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

"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.

‡ Price taken from the hospital's inpatient list; no outpatient price posted.