How Much Does Treatment of Retinal Lesion Cost?
Also known as: Treatment of retinal lesion (CPT 67210)
Laser treatment for diabetic retinopathy or retinal tears (focal laser photocoagulation).
The total estimated cost of Treatment of Retinal Lesion (CPT 67210) is $1,079 to $1,753, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $428.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Treatment of Retinal Lesion
What you need to know before your appointment
What to Expect
After dilating and numbing your eye, the doctor uses a laser to treat abnormal blood vessels or seal retinal tears. You may see bright flashes of light during treatment.
How Long Does It Take?
15-30 minutes per session
Common Reasons Doctors Order This
Diabetic retinopathy, retinal tear, macular edema, retinal vein occlusion
How to Prepare
Your pupils will be dilated. Bring sunglasses and arrange a driver. Vision may be blurry for hours to days after.
Procedures Commonly Done Together
These procedures are frequently performed alongside Treatment of retinal lesion
How to Reduce Your Cost for Treatment of retinal lesion
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 ($517) differs from the facility rate ($428). 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 (15.49) x CF ($33.40) = $517
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Treatment of retinal lesion cost?
The Medicare facility rate for Treatment of retinal lesion is $428. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Treatment of retinal lesion cost without insurance?
Without insurance, the cost of Treatment of retinal lesion 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 Treatment of retinal lesion?
Most commercial health insurance plans and Medicare cover Treatment of retinal lesion 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.