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Retinal detachment repair: what insurers pay

Vitrectomy repair of a detached retina (67113 complex). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 67108: Retinal Detachment Repair

949 hospitals in 77 markets. National Medicare rate $4,223, surgery center $2,204.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)7$4,560$5,841$6,760$2,150–$10,287
Alaska (statewide)3———$2,297–$25,227
Arizona (statewide)5$2,918$5,995$6,122$2,911–$11,788
Arkansas (statewide)3———$3,806–$5,000
Atlanta GA6$8,434$8,434$8,858$8,434–$9,000
Austin TX13$3,666$6,837$7,996$3,666–$8,454
Boston MA10$6,246$6,948$7,933$3,945–$9,146
California (statewide)52$8,350$11,870$15,223$3,593–$22,690
Charlotte NC5$4,783$4,783$4,783$4,718–$4,783
Chicago IL9$5,372$7,320$10,607$4,081–$13,687
Cleveland OH11$5,784$6,198$6,713$4,302–$9,106
Colorado (statewide)13$7,274$9,242$11,127$2,757–$14,265
Connecticut (statewide)1———$7,060–$7,060
Dallas-Fort Worth TX9$9,737$10,920$13,429$8,316–$16,250
Denver CO15$4,843$9,516$10,726$3,350–$11,127
Detroit MI12$3,932$5,170$7,129$3,012–$8,165
Florida (statewide)59$9,238$10,523$11,334$2,303–$18,426
Georgia (statewide)25$6,311$8,702$9,000$2,996–$23,064
Hawaii (statewide)3———$5,246–$8,878
Houston TX17$7,036$7,889$8,104$5,518–$8,104
Idaho (statewide)11$4,214$4,253$10,080$3,996–$15,512
Illinois (statewide)23$5,664$6,919$9,565$4,960–$11,952
Indiana (statewide)27$2,644$6,013$15,564$2,644–$28,641
Indianapolis IN3———$2,644–$2,644
Iowa (statewide)13$6,312$7,070$8,707$2,304–$13,500
Kansas (statewide)10$3,796$7,054$10,114$2,706–$23,552
Kentucky (statewide)14$5,437$5,668$6,226$4,231–$9,379
Las Vegas NV2———$3,761–$4,900
Los Angeles CA17$8,322$10,553$11,722$5,670–$34,526
Louisiana (statewide)22$3,918$5,736$7,991$3,396–$11,039
Maine (statewide)15$16,484$18,907$19,138$10,370–$24,061
Massachusetts (statewide)2———$3,815–$6,164
Miami-Fort Lauderdale FL1———$7,511–$7,511
Michigan (statewide)21$4,550$5,170$5,928$2,903–$7,125
Minneapolis-St. Paul MN6$7,066$7,066$7,386$6,950–$8,659
Minnesota (statewide)11$10,082$12,512$14,436$7,066–$17,969
Mississippi (statewide)10$6,187$6,537$6,779$5,720–$11,272
Missouri (statewide)11$6,907$10,781$12,094$2,863–$13,429
Montana (statewide)3———$8,448–$13,038
Nashville TN8$5,828$6,689$6,795$3,649–$6,912
Nebraska (statewide)12$7,634$12,502$13,500$3,124–$28,144
Nevada (statewide)4———$3,930–$8,206
New Hampshire (statewide)6$14,135$16,226$17,254$11,153–$18,510
New Jersey (statewide)20$5,120$7,673$8,875$4,668–$17,947
New Mexico (statewide)4———$4,245–$12,043
New York (statewide)29$3,842$7,141$9,103$3,024–$18,891
New York City7$3,822$3,832$8,412$3,808–$14,557
North Carolina (statewide)2———$6,041–$10,958
North Dakota (statewide)5$7,180$9,080$9,112$6,959–$9,290
Ohio (statewide)35$5,956$7,653$10,462$2,664–$15,887
Oklahoma (statewide)13$3,068$6,180$9,143$2,831–$17,947
Oregon (statewide)7$10,302$12,027$15,866$9,283–$19,545
Pennsylvania (statewide)20$6,511$8,434$13,694$4,639–$18,279
Philadelphia PA11$8,667$9,125$11,511$6,124–$13,760
Phoenix AZ8$5,927$5,975$6,012$5,784–$6,122
Pittsburgh PA6$4,714$6,648$6,881$3,772–$7,472
Portland OR9$17,149$17,149$17,644$16,354–$17,644
Rhode Island (statewide)4———$5,302–$12,989
Richmond VA3———$11,102–$11,446
Rio Grande Valley TX3———$5,664–$10,080
Salt Lake City UT9$3,254$3,254$3,278$3,254–$3,334
San Antonio TX3———$5,634–$7,312
San Diego CA4———$9,303–$9,303
San Francisco Bay Area CA5$11,092$11,149$13,482$10,681–$31,147
Seattle-Tacoma WA16$10,499$11,911$12,275$8,901–$14,541
South Carolina (statewide)19$9,112$14,988$16,330$3,101–$29,053
South Dakota (statewide)2———$6,302–$12,405
Tampa FL6$9,238$9,238$9,238$6,286–$21,407
Tennessee (statewide)20$4,559$4,666$6,257$3,116–$7,116
Texas (statewide)68$5,370$7,550$12,868$2,563–$28,641
Utah (statewide)6$2,908$3,251$3,589$2,794–$3,701
Vermont (statewide)2———$2,167–$9,687
Virginia (statewide)18$11,316$13,351$15,672$8,488–$18,722
Washington (statewide)10$11,384$11,938$13,295$10,004–$22,504
Washington DC9$8,343$8,343$8,343$7,539–$8,846
West Virginia (statewide)3———$4,465–$16,287
Wisconsin (statewide)33$7,301$11,170$11,170$3,967–$14,690

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$2,1500.6×12026-04-30
Southwestern Vermont Medical CenterVermont (statewide)$2,1670.5×32025-01-01
Alaska Native Medical CenterAlaska (statewide)$2,2970.5×52026-08-20
Baptist HospitalFlorida (statewide)$2,3030.5×82025-12-23
Waverly Health CenterIowa (statewide)$2,3040.6×22026-03-03
Uf Health Leesburg HospitalFlorida (statewide)$2,4090.6×12026-03-31
Baptist Medical Center JacksonvilleFlorida (statewide)$2,4750.6×22026-02-06
Baptist Medical Center - BeachesFlorida (statewide)$2,4750.6×22026-02-06
Baptist Medical Center - NassauFlorida (statewide)$2,4750.6×22026-02-06
Ennis Regional Medical CenterTexas (statewide)$2,5630.6×12026-04-01
Ascension St Vincent'S Clay CountyFlorida (statewide)$2,6440.6×12026-01-01
Ascension St Vincent KokomoIndiana (statewide)$2,6440.6×12026-01-01
Providence Medical CenterKansas (statewide)$23,5526.0×22026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$24,0615.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$24,7175.7×12026-09-01
Parkview Lagrange HospitalIndiana (statewide)$24,9285.7×12026-09-01
Providence Alaska Medical CenterAlaska (statewide)$25,2275.5×22026-04-01
Chi Health St FrancisNebraska (statewide)$28,1446.6×62026-02-28
Parkview Regional Medical CenterIndiana (statewide)$28,6416.5×12026-09-01
Parkview Huntington HospitalIndiana (statewide)$28,6416.5×12026-09-01
Parkview HospitalTexas (statewide)$28,6416.9×12026-09-01
Mcleod Medical Center - DillonSouth Carolina (statewide)$29,0537.6×12026-07-20
Stanford Health CareSan Francisco Bay Area CA$31,1475.1×22026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$34,5266.5×32025-11-26

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 67113: Retinal Detachment Repair

916 hospitals in 76 markets. National Medicare rate $5,437, surgery center $2,787.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)6$5,768$6,498$8,737$5,098–$10,287
Alaska (statewide)3———$4,731–$31,399
Arizona (statewide)5$5,557$6,516$7,686$2,918–$11,795
Arkansas (statewide)3———$4,353–$5,000
Atlanta GA6$7,006$7,006$9,596$7,006–$10,460
Austin TX13$3,666$7,992$8,483$3,666–$10,798
Boston MA10$6,424$7,766$8,020$4,163–$9,146
California (statewide)51$8,243$15,224$19,525$5,676–$22,582
Charlotte NC5$6,134$6,134$6,134$6,051–$6,134
Chicago IL8$6,607$7,744$10,607$5,081–$14,419
Cleveland OH10$6,211$6,965$8,924$5,538–$9,106
Colorado (statewide)13$7,608$9,405$11,522$3,082–$14,276
Connecticut (statewide)1———$6,108–$6,108
Dallas-Fort Worth TX9$9,737$10,997$13,429$9,342–$16,250
Denver CO15$8,312$9,330$9,704$7,437–$13,862
Detroit MI10$2,970$5,032$8,136$2,657–$8,915
Florida (statewide)55$9,830$10,722$11,478$2,838–$18,426
Georgia (statewide)25$6,311$8,702$10,460$2,996–$24,626
Hawaii (statewide)3———$6,728–$12,289
Houston TX17$7,952$8,104$10,264$6,690–$10,405
Idaho (statewide)11$5,377$5,377$12,965$3,996–$19,250
Illinois (statewide)23$5,942$8,835$10,607$5,253–$15,329
Indiana (statewide)28$2,838$8,068$17,014$2,838–$28,641
Indianapolis IN3———$2,838–$2,838
Iowa (statewide)13$7,439$9,099$11,168$2,795–$12,672
Kansas (statewide)7$7,907$8,520$11,280$6,575–$28,524
Kentucky (statewide)14$5,660$6,566$7,219$4,231–$10,533
Las Vegas NV2———$4,762–$4,820
Los Angeles CA17$9,417$12,025$13,013$9,004–$36,188
Louisiana (statewide)22$4,939$6,434$7,202$3,501–$13,959
Maine (statewide)15$21,142$24,250$24,546$12,838–$30,860
Massachusetts (statewide)2———$5,062–$6,992
Miami-Fort Lauderdale FL1———$9,633–$9,633
Michigan (statewide)19$5,368$5,928$6,438$2,672–$9,173
Minneapolis-St. Paul MN6$7,490$7,490$7,492$7,339–$11,106
Minnesota (statewide)11$12,956$16,072$17,766$7,490–$23,098
Mississippi (statewide)9$6,795$6,804$7,067$6,177–$8,114
Missouri (statewide)11$9,306$11,050$11,274$3,513–$13,429
Montana (statewide)3———$10,061–$13,038
Nashville TN8$5,516$6,178$7,186$3,649–$10,636
Nebraska (statewide)12$7,614$11,294$11,319$3,334–$23,542
Nevada (statewide)3———$4,679–$4,820
New Hampshire (statewide)6$16,199$18,368$21,828$12,034–$23,829
New Jersey (statewide)15$8,626$10,026$11,550$7,773–$16,414
New Mexico (statewide)4———$5,445–$15,238
New York (statewide)28$5,020$8,192$11,476$4,213–$16,712
New York City7$4,533$4,677$7,996$4,389–$12,727
North Carolina (statewide)2———$6,041–$14,108
North Dakota (statewide)5$8,927$9,080$9,229$8,926–$11,942
Ohio (statewide)34$6,106$9,286$12,437$2,981–$20,454
Oklahoma (statewide)13$3,338$7,366$11,050$3,080–$16,414
Oregon (statewide)7$13,213$13,254$18,150$11,951–$22,860
Pennsylvania (statewide)18$9,524$13,810$18,675$4,916–$24,478
Philadelphia PA11$7,780$8,151$10,132$7,208–$14,301
Phoenix AZ8$5,979$6,248$6,588$5,979–$6,802
Pittsburgh PA6$7,582$10,637$11,173$5,848–$12,987
Portland OR9$15,979$15,979$22,370$15,637–$22,370
Rhode Island (statewide)3———$10,148–$13,980
Richmond VA3———$9,041–$11,102
Rio Grande Valley TX3———$6,390–$10,539
Salt Lake City UT9$4,164$4,164$4,204$4,164–$4,208
San Antonio TX3———$6,298–$7,571
San Francisco Bay Area CA5$9,996$12,031$14,520$9,386–$40,051
Seattle-Tacoma WA16$15,144$15,568$17,952$12,752–$19,013
South Carolina (statewide)19$9,112$14,544$20,384$3,101–$34,118
South Dakota (statewide)2———$8,102–$12,405
Tampa FL6$9,830$9,830$9,830$9,732–$15,638
Tennessee (statewide)20$4,972$5,594$6,150$3,286–$8,668
Texas (statewide)66$6,526$8,656$13,420$3,300–$28,641
Utah (statewide)6$3,971$4,248$4,652$3,907–$4,758
Vermont (statewide)1———$16,568–$16,568
Virginia (statewide)19$14,306$16,329$18,378$8,856–$20,196
Washington (statewide)10$14,136$15,362$17,979$12,917–$27,312
Washington DC9$9,051$9,927$9,927$8,278–$9,927
West Virginia (statewide)2———$5,727–$20,890
Wisconsin (statewide)33$8,732$11,123$11,856$4,872–$17,620

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Corewell Health Trenton HospitalDetroit MI$2,6570.5×12026-05-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,6600.5×12026-05-01
Corewell Health Taylor HospitalMichigan (statewide)$2,6720.5×12026-05-01
Waverly Health CenterIowa (statewide)$2,7950.6×22026-03-03
Ascension St Vincent'S Clay CountyFlorida (statewide)$2,8380.5×12026-01-01
Ascension St Vincent KokomoIndiana (statewide)$2,8380.5×12026-01-01
Ascension St Vincent AndersonIndianapolis IN$2,8380.5×12026-01-01
Ascension St Vincent EvansvilleIndiana (statewide)$2,8380.5×12026-01-01
Ascension St Vincent Heart CenterIndiana (statewide)$2,8380.5×12026-01-01
Ascension St Vincent CarmelIndianapolis IN$2,8380.5×12026-01-01
Ascension St Vincent FishersIndianapolis IN$2,8380.5×12026-01-01
Ascension St Vincent RandolphIndiana (statewide)$2,8380.5×12026-01-01
Northern Light Mayo HospitalMaine (statewide)$25,8524.9×22026-03-30
Providence Centralia HospitalWashington (statewide)$27,1944.6×42026-04-01
Mary Bridge Children'S HospitalWashington (statewide)$27,3124.4×52026-08-27
Providence Medical CenterKansas (statewide)$28,5245.7×22026-04-01
Parkview Regional Medical CenterIndiana (statewide)$28,6415.1×12026-09-01
Parkview Huntington HospitalIndiana (statewide)$28,6415.1×12026-09-01
Parkview HospitalTexas (statewide)$28,6415.4×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$30,8605.9×12025-09-09
Providence Alaska Medical CenterAlaska (statewide)$31,3995.3×22026-04-01
Mcleod Medical Center - DillonSouth Carolina (statewide)$34,1186.9×12026-07-20
Cedars-Sinai Medical CenterLos Angeles CA$36,1885.3×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$40,0515.1×42026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for retinal detachment repair?

Across 949 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 67108, hospital outpatient is $8,343, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,578 to $11,290. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for retinal detachment repair?

Medicare's national hospital outpatient rate for CPT 67108 is $4,223 and its surgery-center rate is $2,204, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for retinal detachment repair?

Lowest medians: Usa Health University Hospital ($2,150), Southwestern Vermont Medical Center ($2,167), Alaska Native Medical Center ($2,297). Highest: Cedars-Sinai Medical Center ($34,526), Stanford Health Care ($31,147), Mcleod Medical Center - Dillon ($29,053). Coverage: every hospital whose price file we could read.