Price Checker / CPT 67225
How much does Eye Photodynamic Ther Add-on cost?
CPT 67225 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 87x the fair price — among the most extreme markups. Dispute this.
Fair price
$45–$85
What this should cost
With insurance
~$2,350
Typical out-of-pocket
Overcharged if over
$110
Push back above this
The average hospital charge of $5,623 is $5,558 over the fair price (about 87x the fair rate).
What hospitals charge for Eye Photodynamic Ther Add-on
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| RESEARCH MEDICAL CENTER Kansas City, MO | — | — | 49109% |
| FAIRVIEW PARK HOSPITAL DUBLIN, GA | — | — | 33035% |
| MEMORIAL SATILLA HEALTH WAYCROSS, GA | — | — | 32956% |
| Dominican Hospital SANTA CRUZ, CA | — | — | 31710% |
| "Children's Hospital of Michigan" DETROIT, MI | — | — | 27911% |
| "St. John's Hospital Camarillo" SPRINGFIELD, CA | — | — | 26851% |
| Arroyo Grande Community Hospital , CA | — | — | 24539% |
| CHRISTUS St. Vincent Regional Medical Center SANTA FE, NM | — | — | 24116% |
| MOUNTAINVIEW HOSPITAL AND MEDICAL CENTER Las Vegas, NV | — | — | 22133% |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Las Vegas, NV | — | — | 22133% |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Webster, TX | — | — | 20000% |
| HCA HOUSTON HEALTHCARE KINGWOOD Kingwood, TX | — | — | 20000% |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Houston, TX | — | — | 20000% |
| HCA Houston Healthcare North Cypress Cypress, TX | — | — | 20000% |
| HCA HOUSTON HEALTHCARE SOUTHEAST Pasadena, TX | — | — | 20000% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Eye Photodynamic Ther Add-on
CPT code 67225 refers to eye photodynamic ther add-on (billing description: "Eye photodynamic ther add-on"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $22 in a facility (hospital or surgery center) and $29 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.