Destruction of leaking blood vessels of retina using laser
Medicare pricing data for 4,079 providers across 51 states
This procedure has a 5.9x markup — hospitals charge $1,929 but Medicare allows only $325.36. Uninsured patients may face bills 5.9 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
Destruction of leaking blood vessels of retina using laser (HCPCS code 67228) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $325.36, but hospitals typically charge $1,929 — a 5.9x 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 $325.36, your out-of-pocket cost would be approximately $65.07. 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 5.9x more than what Medicare allows for this procedure. Medicare actually pays $252.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $427 | $4,447 | 5 | 18 | +31.2% |
| District of Columbia | $376 | $1,880 | 10 | 80 | +15.5% |
| New York | $373 | $2,125 | 307 | 3,360 | +14.7% |
| Connecticut | $365 | $1,840 | 39 | 415 | +12.1% |
| California | $355 | $1,834 | 485 | 5,466 | +9.1% |
| New Jersey | $354 | $1,925 | 104 | 870 | +8.8% |
| Maryland | $351 | $1,772 | 107 | 1,150 | +7.9% |
| Hawaii | $349 | $2,324 | 22 | 165 | +7.2% |
| Massachusetts | $337 | $2,227 | 137 | 808 | +3.7% |
| Delaware | $337 | $782 | 6 | 53 | +3.7% |
| Florida | $336 | $1,686 | 254 | 2,142 | +3.3% |
| New Hampshire | $335 | $2,068 | 9 | 63 | +3.1% |
| Nevada | $335 | $2,180 | 24 | 282 | +2.8% |
| Puerto Rico | $334 | $393 | 22 | 82 | +2.8% |
| Montana | $334 | $592 | 4 | 14 | +2.7% |
| Rhode Island | $334 | $1,640 | 14 | 118 | +2.6% |
| North Dakota | $332 | $1,925 | 6 | 71 | +2.1% |
| Illinois | $328 | $2,111 | 194 | 2,398 | +0.7% |
| New Mexico | $325 | $1,357 | 15 | 250 | -0.2% |
| Arizona | $320 | $1,260 | 59 | 512 | -1.6% |
| Minnesota | $318 | $1,856 | 65 | 366 | -2.2% |
| Michigan | $317 | $1,332 | 159 | 1,444 | -2.6% |
| Virginia | $316 | $1,816 | 84 | 999 | -2.8% |
| Vermont | $314 | $2,756 | 5 | 41 | -3.6% |
| Oregon | $313 | $1,379 | 54 | 288 | -3.7% |
| Georgia | $313 | $1,947 | 84 | 711 | -3.8% |
| Louisiana | $312 | $1,708 | 82 | 790 | -4.1% |
| North Carolina | $311 | $1,841 | 101 | 1,061 | -4.5% |
| South Carolina | $311 | $1,620 | 48 | 458 | -4.5% |
| Oklahoma | $310 | $1,816 | 35 | 718 | -4.7% |
| Pennsylvania | $309 | $2,177 | 184 | 1,429 | -5.0% |
| Iowa | $309 | $2,048 | 47 | 333 | -5.1% |
| Washington | $309 | $1,397 | 85 | 656 | -5.1% |
| Wisconsin | $308 | $3,180 | 72 | 600 | -5.3% |
| Colorado | $306 | $1,712 | 67 | 434 | -6.0% |
| Ohio | $302 | $1,920 | 151 | 1,210 | -7.1% |
| Alabama | $301 | $1,460 | 53 | 527 | -7.5% |
| Texas | $301 | $2,640 | 310 | 3,467 | -7.6% |
| Indiana | $300 | $1,419 | 77 | 1,143 | -7.9% |
| Missouri | $300 | $1,988 | 87 | 636 | -7.9% |
| Kansas | $299 | $1,580 | 37 | 425 | -8.0% |
| Utah | $298 | $2,096 | 41 | 101 | -8.4% |
| Idaho | $296 | $988 | 14 | 120 | -9.1% |
| Kentucky | $295 | $1,740 | 52 | 480 | -9.4% |
| Tennessee | $292 | $2,311 | 74 | 566 | -10.2% |
| Arkansas | $291 | $1,884 | 37 | 472 | -10.7% |
| South Dakota | $288 | $1,273 | 11 | 75 | -11.6% |
| Mississippi | $287 | $1,938 | 30 | 256 | -11.7% |
| Maine | $277 | $1,185 | 21 | 143 | -15.0% |
| West Virginia | $262 | $2,191 | 18 | 270 | -19.4% |
| Nebraska | $257 | $1,298 | 24 | 273 | -21.0% |
⚠️ 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