Price AtlasInteractive atlas · All states · techysurgeon.comVitrectomy (retina surgery): what insurers pay
Removing the eye's gel (67036); with membrane peeling for macular hole or pucker (67042/67041). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 67036: Vitrectomy (Retina Surgery)
929 hospitals in 74 markets. National Medicare rate $4,223, surgery center $2,204.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 7 | $4,572 | $5,841 | $6,760 | $2,150–$10,287 |
| Alaska (statewide) | 3 | — | — | — | $3,180–$21,940 |
| Arizona (statewide) | 5 | $2,918 | $4,714 | $5,366 | $2,911–$7,469 |
| Arkansas (statewide) | 3 | — | — | — | $3,270–$5,000 |
| Atlanta GA | 6 | $6,443 | $6,606 | $6,606 | $6,389–$6,606 |
| Austin TX | 13 | $3,666 | $6,208 | $7,799 | $3,666–$7,799 |
| Boston MA | 10 | $6,246 | $7,300 | $8,178 | $3,945–$9,146 |
| California (statewide) | 53 | $6,354 | $11,870 | $15,223 | $3,745–$20,591 |
| Charlotte NC | 5 | $4,783 | $4,783 | $4,783 | $4,718–$4,783 |
| Chicago IL | 8 | $5,716 | $6,750 | $10,607 | $4,985–$13,687 |
| Cleveland OH | 11 | $4,302 | $4,801 | $6,621 | $2,694–$8,325 |
| Colorado (statewide) | 12 | $7,095 | $7,706 | $8,121 | $4,043–$12,411 |
| Connecticut (statewide) | 1 | — | — | — | $6,002–$6,002 |
| Dallas-Fort Worth TX | 9 | $9,232 | $9,880 | $13,429 | $7,207–$16,250 |
| Denver CO | 15 | $7,153 | $7,853 | $8,126 | $4,730–$8,434 |
| Detroit MI | 12 | $5,170 | $5,170 | $6,250 | $2,144–$8,165 |
| Florida (statewide) | 58 | $9,238 | $10,541 | $11,368 | $2,303–$18,426 |
| Georgia (statewide) | 25 | $6,311 | $6,389 | $8,702 | $2,955–$20,913 |
| Hawaii (statewide) | 3 | — | — | — | $5,246–$7,586 |
| Houston TX | 17 | $5,172 | $6,255 | $7,889 | $4,686–$8,104 |
| Idaho (statewide) | 13 | $4,253 | $4,253 | $9,627 | $3,996–$12,925 |
| Illinois (statewide) | 22 | $5,320 | $7,351 | $9,565 | $3,558–$11,952 |
| Indiana (statewide) | 24 | $6,040 | $12,604 | $17,027 | $2,274–$28,641 |
| Iowa (statewide) | 12 | $6,204 | $7,254 | $8,764 | $4,223–$9,880 |
| Kansas (statewide) | 10 | $2,985 | $5,361 | $8,393 | $1,976–$19,552 |
| Kentucky (statewide) | 14 | $4,474 | $5,410 | $6,127 | $2,709–$7,033 |
| Las Vegas NV | 2 | — | — | — | $3,010–$3,182 |
| Los Angeles CA | 17 | $7,919 | $9,834 | $10,296 | $5,921–$25,486 |
| Louisiana (statewide) | 22 | $4,077 | $5,944 | $6,758 | $3,697–$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 FL | 1 | — | — | — | $7,511–$7,511 |
| Michigan (statewide) | 19 | $3,226 | $4,119 | $5,302 | $2,940–$7,125 |
| Minneapolis-St. Paul MN | 6 | $6,232 | $6,232 | $7,177 | $6,114–$8,659 |
| Minnesota (statewide) | 11 | $10,082 | $11,938 | $13,460 | $6,232–$17,969 |
| Mississippi (statewide) | 10 | $5,834 | $6,273 | $6,779 | $4,051–$11,272 |
| Missouri (statewide) | 11 | $8,739 | $9,367 | $9,554 | $2,457–$13,429 |
| Montana (statewide) | 3 | — | — | — | $8,448–$13,038 |
| Nashville TN | 8 | $5,309 | $6,178 | $6,700 | $3,649–$8,292 |
| Nebraska (statewide) | 13 | $6,828 | $9,875 | $9,875 | $2,377–$20,585 |
| Nevada (statewide) | 3 | — | — | — | $2,986–$3,182 |
| New Hampshire (statewide) | 6 | $13,835 | $14,698 | $16,154 | $8,425–$18,510 |
| New Jersey (statewide) | 20 | $4,668 | $7,424 | $8,786 | $4,668–$15,614 |
| New Mexico (statewide) | 5 | $4,992 | $7,092 | $8,144 | $4,245–$11,474 |
| New York (statewide) | 30 | $4,226 | $6,638 | $8,812 | $3,024–$14,964 |
| New York City | 7 | $4,226 | $4,229 | $7,180 | $4,222–$9,810 |
| North Carolina (statewide) | 2 | — | — | — | $6,041–$10,958 |
| North Dakota (statewide) | 5 | $7,180 | $8,927 | $9,080 | $6,959–$9,290 |
| Ohio (statewide) | 35 | $4,302 | $7,553 | $10,462 | $2,031–$15,887 |
| Oklahoma (statewide) | 11 | $2,128 | $8,393 | $9,490 | $2,076–$15,614 |
| Oregon (statewide) | 7 | $10,302 | $12,027 | $15,866 | $9,283–$19,545 |
| Pennsylvania (statewide) | 19 | $6,200 | $10,173 | $14,398 | $3,575–$19,014 |
| Philadelphia PA | 11 | $6,886 | $6,944 | $8,172 | $5,731–$13,320 |
| Phoenix AZ | 8 | $3,738 | $3,786 | $4,018 | $3,592–$4,714 |
| Pittsburgh PA | 6 | $7,512 | $8,259 | $8,694 | $2,380–$10,126 |
| Portland OR | 9 | $14,470 | $14,470 | $17,149 | $14,108–$17,149 |
| Rhode Island (statewide) | 3 | — | — | — | $8,278–$9,813 |
| Richmond VA | 3 | — | — | — | $8,403–$8,702 |
| Rio Grande Valley TX | 3 | — | — | — | $5,664–$9,328 |
| Salt Lake City UT | 9 | $2,548 | $2,548 | $2,578 | $2,548–$3,228 |
| San Antonio TX | 3 | — | — | — | $4,988–$6,170 |
| San Francisco Bay Area CA | 5 | $9,212 | $10,681 | $11,564 | $8,740–$35,334 |
| Seattle-Tacoma WA | 16 | $10,499 | $11,434 | $11,936 | $8,901–$14,541 |
| South Carolina (statewide) | 19 | $9,198 | $12,714 | $18,906 | $3,048–$20,079 |
| South Dakota (statewide) | 2 | — | — | — | $6,302–$12,405 |
| Tampa FL | 6 | $9,238 | $9,238 | $9,238 | $5,618–$15,523 |
| Tennessee (statewide) | 20 | $3,938 | $4,528 | $5,606 | $3,116–$8,678 |
| Texas (statewide) | 67 | $4,672 | $6,694 | $13,044 | $2,563–$28,641 |
| Utah (statewide) | 6 | $2,418 | $2,861 | $3,569 | $2,374–$3,701 |
| Virginia (statewide) | 18 | $11,316 | $12,326 | $13,666 | $7,138–$18,722 |
| Washington (statewide) | 10 | $11,109 | $11,938 | $13,295 | $10,004–$23,362 |
| Washington DC | 9 | $6,895 | $6,895 | $7,283 | $5,292–$8,796 |
| West Virginia (statewide) | 3 | — | — | — | $4,465–$16,287 |
| Wisconsin (statewide) | 32 | $7,255 | $11,123 | $11,306 | $3,275–$14,690 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Russell Regional Hospital | Kansas (statewide) | $1,976 | 0.5× | 1 | 2026-06-01 |
| Selby General Hospital | Ohio (statewide) | $2,031 | 0.5× | 1 | 2026-10-01 |
| Ascension St John Jane Phillips | Oklahoma (statewide) | $2,076 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Nowata | Oklahoma (statewide) | $2,076 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Owasso | Oklahoma (statewide) | $2,100 | 0.5× | 1 | 2026-01-01 |
| Ascension Via Christi Hospital Manhattan, Inc | Kansas (statewide) | $2,140 | 0.6× | 1 | 2026-01-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $2,144 | 0.5× | 2 | 2026-01-01 |
| Usa Health University Hospital | Alabama (statewide) | $2,150 | 0.6× | 1 | 2026-04-30 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $2,156 | 0.5× | 1 | 2026-09-01 |
| Community Hospital Of Bremen Inc | Indiana (statewide) | $2,274 | 0.5× | 2 | 2026-01-01 |
| Baptist Hospital | Florida (statewide) | $2,303 | 0.5× | 8 | 2025-12-23 |
| Intermountain Health Park City Hospital | Utah (statewide) | $2,374 | 0.6× | 1 | 2026-08-05 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $20,913 | 5.0× | 2 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $21,940 | 4.8× | 2 | 2026-04-01 |
| Parkview Noble Hospital | Indiana (statewide) | $23,338 | 5.3× | 1 | 2026-09-01 |
| Providence Centralia Hospital | Washington (statewide) | $23,362 | 5.1× | 4 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $24,061 | 5.9× | 1 | 2025-09-09 |
| Parkview Whitley Hospital | Indiana (statewide) | $24,717 | 5.7× | 1 | 2026-09-01 |
| Parkview Lagrange Hospital | Indiana (statewide) | $24,928 | 5.7× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 4.8× | 3 | 2025-11-26 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 6.5× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 6.9× | 1 | 2026-09-01 |
| Stanford Health Care | San Francisco Bay Area CA | $35,334 | 5.8× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 67042: Vitrectomy (Retina Surgery)
932 hospitals in 75 markets. National Medicare rate $4,223, surgery center $2,204.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 7 | $4,572 | $5,841 | $6,760 | $2,150–$10,287 |
| Alaska (statewide) | 3 | — | — | — | $4,066–$27,502 |
| Arizona (statewide) | 5 | $2,918 | $5,557 | $6,608 | $2,911–$12,160 |
| Arkansas (statewide) | 3 | — | — | — | $4,208–$6,500 |
| Atlanta GA | 6 | $7,006 | $7,006 | $9,596 | $7,006–$10,460 |
| Austin TX | 13 | $3,666 | $7,450 | $8,483 | $3,666–$9,360 |
| Boston MA | 10 | $6,418 | $6,948 | $7,933 | $3,945–$9,146 |
| California (statewide) | 50 | $7,078 | $11,870 | $15,223 | $3,745–$20,591 |
| Charlotte NC | 5 | $4,783 | $4,783 | $4,783 | $4,718–$4,783 |
| Chicago IL | 8 | $5,932 | $7,744 | $10,607 | $4,985–$13,687 |
| Cleveland OH | 10 | $5,720 | $6,574 | $6,932 | $4,302–$9,106 |
| Colorado (statewide) | 13 | $7,196 | $9,165 | $11,204 | $2,649–$13,502 |
| Connecticut (statewide) | 1 | — | — | — | $6,108–$6,108 |
| Dallas-Fort Worth TX | 9 | $9,737 | $10,997 | $13,429 | $8,892–$16,250 |
| Denver CO | 15 | $6,536 | $9,330 | $9,592 | $6,239–$13,862 |
| Detroit MI | 12 | $2,284 | $2,680 | $6,630 | $2,217–$8,165 |
| Florida (statewide) | 59 | $9,238 | $10,523 | $11,334 | $2,303–$18,426 |
| Georgia (statewide) | 25 | $6,311 | $8,702 | $10,460 | $2,996–$24,626 |
| Hawaii (statewide) | 3 | — | — | — | $5,246–$7,586 |
| Houston TX | 17 | $7,889 | $8,104 | $9,284 | $5,641–$10,405 |
| Idaho (statewide) | 11 | $4,100 | $4,253 | $6,940 | $3,996–$12,319 |
| Illinois (statewide) | 22 | $5,554 | $7,806 | $10,346 | $5,032–$11,952 |
| Indiana (statewide) | 28 | $2,464 | $7,079 | $15,178 | $2,464–$28,641 |
| Indianapolis IN | 3 | — | — | — | $2,464–$2,464 |
| Iowa (statewide) | 13 | $6,312 | $7,070 | $8,707 | $2,216–$11,294 |
| Kansas (statewide) | 10 | $5,796 | $7,102 | $9,488 | $5,074–$17,617 |
| Kentucky (statewide) | 14 | $4,791 | $5,504 | $6,210 | $3,381–$10,646 |
| Las Vegas NV | 2 | — | — | — | $3,434–$3,978 |
| Los Angeles CA | 17 | $7,933 | $9,834 | $10,600 | $7,358–$25,486 |
| Louisiana (statewide) | 22 | $4,020 | $6,136 | $6,788 | $3,501–$11,799 |
| Maine (statewide) | 15 | $16,484 | $18,907 | $19,138 | $10,370–$24,061 |
| Massachusetts (statewide) | 2 | — | — | — | $5,062–$6,164 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $7,511–$7,511 |
| Michigan (statewide) | 19 | $4,170 | $4,777 | $5,928 | $2,298–$7,125 |
| Minneapolis-St. Paul MN | 6 | $6,934 | $6,934 | $7,352 | $6,817–$8,659 |
| Minnesota (statewide) | 11 | $10,082 | $12,512 | $14,436 | $6,934–$17,969 |
| Mississippi (statewide) | 10 | $6,214 | $6,537 | $6,779 | $5,720–$11,272 |
| Missouri (statewide) | 11 | $7,612 | $10,926 | $11,274 | $3,513–$13,429 |
| Montana (statewide) | 3 | — | — | — | $8,448–$13,038 |
| Nashville TN | 8 | $5,516 | $6,178 | $6,215 | $3,649–$6,476 |
| Nebraska (statewide) | 12 | $7,403 | $10,826 | $11,294 | $2,488–$23,542 |
| Nevada (statewide) | 3 | — | — | — | $3,978–$4,328 |
| New Hampshire (statewide) | 6 | $14,162 | $16,592 | $18,235 | $11,153–$19,260 |
| New Jersey (statewide) | 20 | $5,120 | $8,419 | $9,578 | $4,668–$16,414 |
| New Mexico (statewide) | 4 | — | — | — | $4,245–$11,752 |
| New York (statewide) | 29 | $3,751 | $7,141 | $8,853 | $3,024–$14,964 |
| New York City | 8 | $3,739 | $4,054 | $7,166 | $3,722–$11,003 |
| North Carolina (statewide) | 2 | — | — | — | $6,041–$10,958 |
| North Dakota (statewide) | 5 | $7,180 | $8,927 | $9,080 | $6,959–$9,290 |
| Ohio (statewide) | 34 | $5,676 | $7,842 | $10,486 | $2,563–$15,887 |
| Oklahoma (statewide) | 13 | $3,283 | $6,180 | $9,143 | $2,672–$16,414 |
| Oregon (statewide) | 7 | $10,302 | $12,027 | $15,866 | $9,283–$19,545 |
| Pennsylvania (statewide) | 19 | $6,520 | $12,476 | $14,398 | $4,916–$19,014 |
| Philadelphia PA | 11 | $7,693 | $8,151 | $9,738 | $6,254–$14,301 |
| Phoenix AZ | 8 | $6,164 | $6,386 | $6,678 | $6,164–$6,886 |
| Pittsburgh PA | 6 | $5,224 | $6,434 | $6,676 | $4,102–$7,450 |
| Portland OR | 9 | $15,979 | $15,979 | $19,906 | $15,637–$19,906 |
| Rhode Island (statewide) | 3 | — | — | — | $8,798–$12,989 |
| Richmond VA | 3 | — | — | — | $9,041–$11,102 |
| Rio Grande Valley TX | 3 | — | — | — | $5,664–$10,539 |
| Salt Lake City UT | 9 | $3,872 | $3,910 | $3,910 | $3,701–$3,910 |
| San Antonio TX | 3 | — | — | — | $5,114–$7,571 |
| San Francisco Bay Area CA | 5 | $9,386 | $10,681 | $13,043 | $8,851–$37,558 |
| Seattle-Tacoma WA | 16 | $10,499 | $12,422 | $13,606 | $8,901–$14,541 |
| South Carolina (statewide) | 18 | $9,002 | $13,350 | $17,367 | $3,101–$20,384 |
| South Dakota (statewide) | 2 | — | — | — | $6,302–$12,405 |
| Tampa FL | 6 | $9,238 | $9,238 | $9,238 | $8,201–$15,638 |
| Tennessee (statewide) | 20 | $4,052 | $4,504 | $5,606 | $3,116–$6,758 |
| Texas (statewide) | 67 | $5,016 | $8,305 | $13,044 | $2,563–$28,641 |
| Utah (statewide) | 6 | $3,689 | $3,695 | $3,701 | $3,612–$3,910 |
| Virginia (statewide) | 18 | $11,887 | $13,700 | $15,410 | $8,856–$18,722 |
| Washington (statewide) | 10 | $11,384 | $12,345 | $13,480 | $10,004–$23,362 |
| Washington DC | 9 | $9,051 | $9,511 | $9,511 | $8,278–$9,511 |
| West Virginia (statewide) | 2 | — | — | — | $4,465–$16,287 |
| Wisconsin (statewide) | 34 | $7,345 | $11,123 | $11,123 | $4,187–$14,690 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health University Hospital | Alabama (statewide) | $2,150 | 0.6× | 1 | 2026-04-30 |
| Waverly Health Center | Iowa (statewide) | $2,216 | 0.6× | 2 | 2026-03-03 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,217 | 0.5× | 2 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $2,277 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $2,279 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Trenton Hospital | Detroit MI | $2,286 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Taylor Hospital | Michigan (statewide) | $2,298 | 0.6× | 1 | 2026-05-01 |
| Baptist Hospital | Florida (statewide) | $2,303 | 0.5× | 8 | 2025-12-23 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,358 | 0.6× | 2 | 2026-05-01 |
| Uf Health Leesburg Hospital | Florida (statewide) | $2,409 | 0.6× | 1 | 2026-03-31 |
| Ascension St Vincent'S Clay County | Florida (statewide) | $2,464 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $2,464 | 0.6× | 1 | 2026-01-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $24,061 | 5.9× | 1 | 2025-09-09 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $24,626 | 6.2× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $24,626 | 5.9× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $24,626 | 5.9× | 2 | 2026-04-01 |
| Parkview Whitley Hospital | Indiana (statewide) | $24,717 | 5.7× | 1 | 2026-09-01 |
| Parkview Lagrange Hospital | Indiana (statewide) | $24,928 | 5.7× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 4.8× | 3 | 2025-11-26 |
| Providence Alaska Medical Center | Alaska (statewide) | $27,502 | 6.0× | 2 | 2026-04-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 6.5× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 6.9× | 1 | 2026-09-01 |
| Stanford Health Care | San Francisco Bay Area CA | $37,558 | 6.2× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 67041: Vitrectomy (Retina Surgery)
912 hospitals in 74 markets. National Medicare rate $4,223, surgery center $2,204.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 7 | $4,572 | $5,841 | $6,760 | $2,150–$10,287 |
| Alaska (statewide) | 3 | — | — | — | $4,068–$27,504 |
| Arizona (statewide) | 5 | $2,982 | $5,557 | $6,698 | $2,918–$12,513 |
| Arkansas (statewide) | 3 | — | — | — | $4,208–$5,000 |
| Atlanta GA | 6 | $7,006 | $7,006 | $9,596 | $7,006–$10,460 |
| Austin TX | 13 | $3,666 | $7,450 | $8,483 | $3,666–$9,360 |
| Boston MA | 10 | $6,418 | $6,948 | $7,933 | $3,945–$9,146 |
| California (statewide) | 51 | $6,354 | $11,870 | $15,223 | $3,745–$20,591 |
| Charlotte NC | 5 | $4,783 | $4,783 | $4,783 | $4,718–$4,783 |
| Chicago IL | 8 | $5,932 | $7,744 | $10,607 | $4,985–$13,687 |
| Cleveland OH | 10 | $4,621 | $6,274 | $6,859 | $4,106–$6,944 |
| Colorado (statewide) | 13 | $7,196 | $9,165 | $11,204 | $2,649–$13,502 |
| Connecticut (statewide) | 1 | — | — | — | $6,108–$6,108 |
| Dallas-Fort Worth TX | 9 | $9,737 | $10,997 | $13,429 | $8,892–$16,250 |
| Denver CO | 15 | $6,536 | $9,330 | $9,592 | $6,239–$13,862 |
| Detroit MI | 12 | $2,284 | $2,584 | $6,658 | $2,144–$8,165 |
| Florida (statewide) | 58 | $9,238 | $10,541 | $11,368 | $2,303–$18,426 |
| Georgia (statewide) | 25 | $6,311 | $8,702 | $10,460 | $2,996–$24,626 |
| Hawaii (statewide) | 3 | — | — | — | $5,008–$7,586 |
| Houston TX | 17 | $7,889 | $8,104 | $9,284 | $5,641–$10,405 |
| Idaho (statewide) | 11 | $4,100 | $4,253 | $6,940 | $3,996–$12,319 |
| Illinois (statewide) | 22 | $5,281 | $7,806 | $10,346 | $4,782–$11,952 |
| Indiana (statewide) | 20 | $5,507 | $10,432 | $20,155 | $4,023–$28,641 |
| Iowa (statewide) | 13 | $6,312 | $7,346 | $8,707 | $2,216–$11,294 |
| Kansas (statewide) | 10 | $2,985 | $6,763 | $9,490 | $1,976–$17,617 |
| Kentucky (statewide) | 14 | $4,791 | $5,504 | $6,210 | $3,381–$10,756 |
| Las Vegas NV | 2 | — | — | — | $3,761–$3,978 |
| Los Angeles CA | 17 | $7,933 | $9,326 | $10,600 | $7,358–$22,055 |
| Louisiana (statewide) | 22 | $4,020 | $6,136 | $6,788 | $3,501–$11,799 |
| Maine (statewide) | 15 | $16,484 | $18,907 | $19,138 | $10,370–$24,061 |
| Massachusetts (statewide) | 2 | — | — | — | $5,062–$6,164 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $7,511–$7,511 |
| Michigan (statewide) | 19 | $3,226 | $4,200 | $5,106 | $2,298–$7,125 |
| Minneapolis-St. Paul MN | 6 | $6,934 | $6,934 | $7,352 | $6,817–$8,659 |
| Minnesota (statewide) | 11 | $10,082 | $12,512 | $14,436 | $6,934–$17,969 |
| Mississippi (statewide) | 10 | $6,214 | $6,537 | $6,779 | $5,720–$11,272 |
| Missouri (statewide) | 11 | $7,612 | $10,363 | $10,572 | $3,513–$13,429 |
| Montana (statewide) | 3 | — | — | — | $8,448–$13,038 |
| Nashville TN | 8 | $5,516 | $6,178 | $6,215 | $3,649–$6,476 |
| Nebraska (statewide) | 12 | $7,403 | $10,826 | $11,294 | $2,490–$23,542 |
| Nevada (statewide) | 3 | — | — | — | $3,978–$4,328 |
| New Hampshire (statewide) | 6 | $14,162 | $16,592 | $18,235 | $11,153–$19,260 |
| New Jersey (statewide) | 15 | $8,419 | $8,446 | $11,195 | $7,773–$16,414 |
| New Mexico (statewide) | 4 | — | — | — | $4,245–$12,216 |
| New York (statewide) | 29 | $3,751 | $7,141 | $8,853 | $3,024–$14,964 |
| New York City | 7 | $3,736 | $3,745 | $7,546 | $3,722–$11,003 |
| North Carolina (statewide) | 2 | — | — | — | $6,041–$10,958 |
| North Dakota (statewide) | 5 | $7,180 | $8,927 | $9,080 | $6,959–$9,290 |
| Ohio (statewide) | 34 | $6,007 | $7,842 | $10,486 | $2,564–$15,887 |
| Oklahoma (statewide) | 13 | $2,873 | $6,180 | $9,143 | $2,338–$16,414 |
| Oregon (statewide) | 7 | $10,302 | $12,027 | $15,866 | $9,283–$19,545 |
| Pennsylvania (statewide) | 17 | $6,638 | $12,476 | $14,614 | $4,916–$19,014 |
| Philadelphia PA | 11 | $7,693 | $8,151 | $9,738 | $6,254–$14,301 |
| Phoenix AZ | 8 | $6,343 | $6,520 | $6,765 | $6,343–$6,967 |
| Pittsburgh PA | 6 | $4,820 | $6,434 | $6,676 | $4,102–$7,450 |
| Portland OR | 9 | $15,979 | $15,979 | $19,906 | $15,637–$19,906 |
| Rhode Island (statewide) | 3 | — | — | — | $8,798–$12,989 |
| Richmond VA | 3 | — | — | — | $6,980–$8,670 |
| Rio Grande Valley TX | 3 | — | — | — | $5,664–$10,539 |
| Salt Lake City UT | 9 | $3,872 | $3,910 | $3,910 | $3,701–$3,910 |
| San Antonio TX | 3 | — | — | — | $5,114–$7,571 |
| San Francisco Bay Area CA | 5 | $9,386 | $10,681 | $13,043 | $8,851–$37,558 |
| Seattle-Tacoma WA | 16 | $10,499 | $12,422 | $13,606 | $8,901–$14,541 |
| South Carolina (statewide) | 18 | $9,002 | $13,340 | $17,367 | $3,101–$20,384 |
| South Dakota (statewide) | 2 | — | — | — | $6,302–$12,405 |
| Tampa FL | 6 | $9,238 | $9,238 | $9,238 | $8,201–$15,638 |
| Tennessee (statewide) | 20 | $4,052 | $4,504 | $5,606 | $3,116–$6,758 |
| Texas (statewide) | 67 | $5,016 | $8,305 | $13,044 | $2,563–$28,641 |
| Utah (statewide) | 6 | $3,689 | $3,695 | $3,701 | $3,612–$3,910 |
| Virginia (statewide) | 18 | $11,571 | $13,209 | $13,700 | $8,856–$18,722 |
| Washington (statewide) | 10 | $11,384 | $12,345 | $13,480 | $10,004–$23,362 |
| Washington DC | 9 | $8,846 | $9,511 | $9,511 | $7,077–$9,511 |
| West Virginia (statewide) | 2 | — | — | — | $4,465–$16,287 |
| Wisconsin (statewide) | 33 | $7,301 | $11,123 | $11,123 | $4,188–$14,690 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Russell Regional Hospital | Kansas (statewide) | $1,976 | 0.5× | 1 | 2026-06-01 |
| Ascension Via Christi Hospital Manhattan, Inc | Kansas (statewide) | $2,140 | 0.6× | 1 | 2026-01-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $2,144 | 0.5× | 1 | 2026-01-01 |
| Usa Health University Hospital | Alabama (statewide) | $2,150 | 0.6× | 1 | 2026-04-30 |
| Waverly Health Center | Iowa (statewide) | $2,216 | 0.6× | 2 | 2026-03-03 |
| Corewell Health Wayne Hospital | Detroit MI | $2,277 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $2,279 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Trenton Hospital | Detroit MI | $2,286 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,288 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Taylor Hospital | Michigan (statewide) | $2,298 | 0.6× | 1 | 2026-05-01 |
| Baptist Hospital | Florida (statewide) | $2,303 | 0.5× | 8 | 2025-12-23 |
| Ascension St John Medical Center | Oklahoma (statewide) | $2,338 | 0.6× | 1 | 2026-01-01 |
| Chi Health St Francis | Nebraska (statewide) | $23,542 | 5.5× | 6 | 2026-02-28 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $24,061 | 5.9× | 1 | 2025-09-09 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $24,626 | 6.2× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $24,626 | 5.9× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $24,626 | 5.9× | 2 | 2026-04-01 |
| Parkview Whitley Hospital | Indiana (statewide) | $24,717 | 5.7× | 1 | 2026-09-01 |
| Parkview Lagrange Hospital | Indiana (statewide) | $24,928 | 5.7× | 1 | 2026-09-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $27,504 | 6.0× | 2 | 2026-04-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 6.5× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 6.9× | 1 | 2026-09-01 |
| Stanford Health Care | San Francisco Bay Area CA | $37,558 | 6.2× | 4 | 2026-04-01 |
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 vitrectomy (retina surgery)?
Across 929 hospitals in 74 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 67036, hospital outpatient is $7,799, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,287 to $11,123. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for vitrectomy (retina surgery)?
Medicare's national hospital outpatient rate for CPT 67036 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 vitrectomy (retina surgery)?
Lowest medians: Russell Regional Hospital ($1,976), Selby General Hospital ($2,031), Ascension St John Jane Phillips ($2,076). Highest: Stanford Health Care ($35,334), Parkview Hospital ($28,641), Parkview Huntington Hospital ($28,641). Coverage: every hospital whose price file we could read.