Photocoagulation treatment to prevent detachment of retina
Medicare pricing data for 4,081 providers across 52 states
This procedure has a 5.8x markup — hospitals charge $1,359 but Medicare allows only $232.84. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. 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
Photocoagulation treatment to prevent detachment of retina (HCPCS code 67145) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $232.84, but hospitals typically charge $1,359 — a 5.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $232.84, your out-of-pocket cost would be approximately $46.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $177.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $264 | $1,365 | 434 | 3,017 | +13.2% |
| Connecticut | $260 | $1,870 | 47 | 309 | +11.5% |
| District of Columbia | $258 | $1,200 | 7 | 29 | +10.8% |
| Maryland | $258 | $1,110 | 106 | 918 | +10.8% |
| New Jersey | $255 | $1,530 | 101 | 641 | +9.5% |
| New York | $255 | $1,613 | 285 | 1,897 | +9.4% |
| Delaware | $244 | $559 | 6 | 46 | +4.9% |
| New Hampshire | $243 | $1,459 | 14 | 107 | +4.3% |
| Virginia | $243 | $1,137 | 95 | 1,092 | +4.2% |
| Rhode Island | $242 | $992 | 14 | 72 | +4.1% |
| Wyoming | $242 | $784 | 2 | 14 | +3.9% |
| Montana | $242 | $884 | 15 | 168 | +3.7% |
| Puerto Rico | $240 | $569 | 13 | 47 | +3.2% |
| Nevada | $238 | $1,298 | 31 | 312 | +2.3% |
| Illinois | $238 | $1,300 | 176 | 1,416 | +2.0% |
| Massachusetts | $237 | $1,441 | 140 | 958 | +1.6% |
| Minnesota | $235 | $1,887 | 72 | 344 | +0.9% |
| Pennsylvania | $233 | $1,721 | 184 | 1,484 | +0.1% |
| Florida | $233 | $1,069 | 263 | 2,476 | +0.1% |
| Hawaii | $232 | $1,266 | 24 | 103 | -0.3% |
| Arizona | $231 | $1,047 | 55 | 666 | -0.7% |
| Utah | $231 | $1,350 | 32 | 128 | -1.0% |
| Oregon | $229 | $1,045 | 71 | 425 | -1.6% |
| Georgia | $229 | $1,629 | 72 | 532 | -1.7% |
| Vermont | $229 | $1,575 | 8 | 61 | -1.8% |
| North Dakota | $229 | $713 | 10 | 69 | -1.9% |
| New Mexico | $228 | $879 | 15 | 131 | -2.0% |
| South Carolina | $227 | $1,133 | 49 | 568 | -2.5% |
| Texas | $226 | $1,407 | 298 | 2,340 | -2.9% |
| Colorado | $225 | $1,001 | 84 | 845 | -3.2% |
| Michigan | $224 | $1,297 | 149 | 798 | -3.7% |
| Missouri | $224 | $1,406 | 74 | 414 | -3.8% |
| Oklahoma | $223 | $1,183 | 26 | 526 | -4.1% |
| Wisconsin | $223 | $3,073 | 85 | 590 | -4.1% |
| South Dakota | $223 | $1,200 | 12 | 163 | -4.2% |
| North Carolina | $223 | $1,192 | 110 | 865 | -4.3% |
| Kansas | $223 | $1,771 | 43 | 425 | -4.4% |
| Louisiana | $222 | $1,295 | 67 | 632 | -4.6% |
| Washington | $221 | $1,166 | 95 | 784 | -5.2% |
| Iowa | $217 | $1,240 | 57 | 394 | -6.9% |
| Kentucky | $217 | $1,315 | 46 | 405 | -7.0% |
| Ohio | $216 | $1,390 | 168 | 1,017 | -7.4% |
| Tennessee | $215 | $1,431 | 86 | 615 | -7.6% |
| Idaho | $209 | $1,144 | 20 | 158 | -10.4% |
| Indiana | $207 | $1,371 | 74 | 645 | -11.2% |
| Mississippi | $207 | $1,174 | 35 | 530 | -11.3% |
| Alabama | $202 | $1,261 | 58 | 333 | -13.3% |
| Alaska | $201 | $3,625 | 10 | 58 | -13.7% |
| Nebraska | $198 | $996 | 31 | 349 | -15.1% |
| West Virginia | $198 | $1,286 | 17 | 93 | -15.1% |
| Arkansas | $196 | $1,144 | 39 | 268 | -15.7% |
| Maine | $194 | $1,425 | 30 | 202 | -16.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber