Price Checker / CPT 67225
CPT 67225 — Eye photodynamic ther add-on
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$22
What Medicare pays in a hospital/ASC setting
$29
What Medicare pays in a physician's office
$5,219
Based on 194 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 67225
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| LOS ROBLES HOSPITAL AND MEDICAL CENTER , CA | — | — | 49804% |
| THOUSAND OAKS SURGICAL HOSPITAL , CA | — | — | 49804% |
| RESEARCH MEDICAL CENTER Kansas City, MO | — | — | 49109% |
| Sequoia Hospital , CA | — | — | 35702% |
| Jefferson Methodist Hospital , PA | — | — | 35523% |
| Thomas Jefferson University Hospital , PA | — | — | 35523% |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY , TN | — | — | 33916% |
| HENDERSONVILLE MEDICAL CENTER , TN | — | — | 33916% |
| HORIZON MEDICAL CENTER , TN | — | — | 33916% |
| NORTHCREST MEDICAL CENTER , TN | — | — | 33916% |
| PARKRIDGE CAMP JORDAN ER , TN | — | — | 33916% |
| PARKRIDGE EAST HOSPITAL , TN | — | — | 33916% |
| PARKRIDGE MEDICAL CENTER , TN | — | — | 33916% |
| PARKRIDGE NORTH ER , TN | — | — | 33916% |
| PARKRIDGE SODDY-DAISY ER , TN | — | — | 33916% |
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About CPT 67225
CPT code 67225 refers to “Eye photodynamic ther add-on”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $22 in a facility (hospital or ambulatory surgery center) and $29in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.