How Much Does Injection Eye Drug Cost?
Also known as: Injection eye drug (CPT 67028)
Intravitreal injection of medication into the eye for retinal conditions.
The total estimated cost of Injection Eye Drug (CPT 67028) is $181 to $294, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $75.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Injection Eye Drug
What you need to know before your appointment
What to Expect
Your eye is numbed and cleaned. The doctor injects medication through the white part of the eye into the vitreous gel. You may feel brief pressure.
How Long Does It Take?
5-10 minutes
Common Reasons Doctors Order This
Wet macular degeneration, diabetic macular edema, retinal vein occlusion
How to Prepare
No fasting needed. Arrange a driver if vision is affected. Floaters for a day are normal. Report severe pain or vision loss immediately.
Procedures Commonly Done Together
These procedures are frequently performed alongside Injection eye drug
How to Reduce Your Cost for Injection eye drug
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($114) differs from the facility rate ($75). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (3.42) x CF ($33.40) = $114
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Injection eye drug cost?
The Medicare facility rate for Injection eye drug is $75. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Injection eye drug cost without insurance?
Without insurance, the cost of Injection eye drug can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Injection eye drug?
Most commercial health insurance plans and Medicare cover Injection eye drug when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.