67210

Destruction of growth of retina using a laser

Medicare pricing data for 2,480 providers across 45 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Destruction of growth of retina using a laser (HCPCS code 67210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $520.76, but hospitals typically charge $1,549 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$104.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $520.76, your out-of-pocket cost would be approximately $104.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$520.76
Average Hospital Charge
$1,549
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,549.00
Medicare Allowed$520.76
Medicare Payment$409.16

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $409.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$568$1,3442738,737+9.1%
Alabama$554$1,66130656+6.4%
Maryland$547$1,029571,019+5.0%
New York$545$1,7832185,418+4.7%
New Jersey$545$1,65490964+4.7%
Connecticut$543$2,01829281+4.3%
Michigan$528$1,21299670+1.4%
Hawaii$525$1,94110150+0.8%
Illinois$517$1,3891141,525-0.7%
Iowa$515$98218332-1.2%
Florida$515$1,1891752,288-1.2%
Rhode Island$510$1,231525-2.0%
Puerto Rico$508$56422129-2.4%
Massachusetts$508$1,55360229-2.5%
Missouri$508$1,85138376-2.5%
New Hampshire$507$1,380334-2.7%
Utah$505$1,02215313-3.0%
Oregon$501$1,16023143-3.9%
Arizona$499$1,26347760-4.2%
Minnesota$493$1,93829119-5.3%
Washington$492$1,29750304-5.4%
South Dakota$491$797419-5.6%
Nevada$486$1,40613496-6.7%
West Virginia$486$1,5528341-6.8%
Wisconsin$485$2,87441163-6.8%
New Mexico$485$1,077821-6.8%
North Carolina$483$1,34378433-7.2%
Virginia$483$1,40259682-7.2%
Georgia$482$1,77138354-7.4%
Kansas$482$1,28521137-7.5%
Louisiana$480$1,42754739-7.7%
South Carolina$479$1,39834369-8.1%
Texas$475$2,6341852,618-8.8%
Pennsylvania$474$2,1251251,449-9.0%
Kentucky$473$1,35219172-9.2%
Colorado$469$96332221-9.9%
Idaho$468$654682-10.2%
Tennessee$468$1,84442170-10.2%
Indiana$465$1,26949452-10.7%
Arkansas$464$1,29016351-10.9%
Oklahoma$461$1,09221277-11.5%
Mississippi$455$1,32919229-12.6%
Ohio$430$1,40496700-17.4%
Maine$380$1,3001587-27.1%
Nebraska$345$94817222-33.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare