Price Checker / CPT 67516
How much does Sprchoroidal Spc Njx Rx Agt cost?
CPT 67516 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 54x the fair price — among the most extreme markups. Dispute this.
Fair price
$290–$340
What this should cost
With insurance
~$2,600
Typical out-of-pocket
Overcharged if over
$430
Push back above this
The average hospital charge of $17,239 is $16,919 over the fair price (about 54x the fair rate).
What hospitals charge for Sprchoroidal Spc Njx Rx Agt
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Aurora Medical Center Manitowoc GRAFTON, WI | — | — | 18424% |
| Aurora Psychiatric Hospital WAUWATOSA, WI | — | — | 18424% |
| METHODIST HOSPITAL San Antonio, TX | — | — | 9812% |
| METROPOLITAN METHODIST San Antonio, TX | — | — | 9812% |
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 Sprchoroidal Spc Njx Rx Agt
CPT code 67516 refers to sprchoroidal spc njx rx agt (billing description: "Sprchoroidal spc njx rx agt"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $80 in a facility (hospital or surgery center) and $121 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.