CPT 67028
Intravitreal Injection
Current code38 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $235 – $349 | $1,394 | $3,486 |
| Deaconess Medical Center | $215 – $228 | $1,412 | $3,529 |
| Harborview Medical Center | — | $906 – $1,359 | $1,294 – $1,941 |
| Highline Medical Center | — | — | — |
| Island Hospital | $222 – $241 | — | — |
| Kadlec Regional Medical Center | — | $649 | $927 |
| Legacy Salmon Creek Medical Center | — | ||
| Mary Bridge Children's Hospital | $223 – $241 | $1,644 | $4,109 |
| MultiCare Auburn Medical Center | $219 – $236 | $1,644 | $4,109 |
| MultiCare Covington Medical Center | $219 – $236 | $1,644 | $4,109 |
| MultiCare Good Samaritan Hospital | $224 – $242 | $1,644 | $4,109 |
| MultiCare Valley Hospital | $214 – $226 | $1,412 | $3,529 |
| Olympic Medical Center | $275 – $301 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $833 | $1,190 |
| Providence Centralia Hospital | — | $796 | $1,530 |
| Providence Holy Family Hospital | — | $827 | $1,181 |
| Providence Mount Carmel Hospital | — | $699 | $998 |
| Providence Regional Medical Center Everett | — | $425 | $818 |
| Providence St Joseph Hospital | — | $673 | $961 |
| Providence St Mary Medical Center | — | $590 | $843 |
| Providence St Peter Hospital | — | $796 | $1,530 |
| Seattle Children's Hospital | $54.87 – $87.90 | $572 – $22,300 | $381 – $2,425 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $905 | $1,885 |
| Swedish Medical Center | — | $905 | $1,885 |
| Swedish Medical Center / Cherry Hill | — | $905 | $1,885 |
| Tacoma General Allenmore Hospital | $224 – $242 | $1,644 | $4,109 |
| University of Washington Medical Ctr | — | $915 – $1,372 | $1,307 – $1,960 |
| Virginia Mason Medical Center | — | $568 | $1,114 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $214 – $248 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $130 in an office; $82.84 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $117 in an office; $76.54 in a hospital or surgery center
- Hospital outpatient payment (national)
- $337 (APC 5694)
- Surgery center payment (national)
- $64.11
How hospitals also write this code
Some price files write it differently. These are counted as CPT 67028:
- 67028P (with a letter after it, P; 4 price lines)