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: Removal of Inner Eye Fluid
85 hospitals in 29 markets. National Medicare rate $4,223, surgery center $2,204.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,606–$6,606 |
| Austin TX | 2 | — | — | — | $3,666–$8,483 |
| Boston MA | 7 | $5,781 | $6,892 | $7,940 | $4,843–$8,725 |
| California (statewide) | 1 | — | — | — | $16,402–$16,402 |
| Chicago IL | 5 | $5,118 | $5,916 | $6,180 | $4,985–$13,687 |
| Cleveland OH | 5 | $7,411 | $8,466 | $8,702 | $4,324–$9,587 |
| Dallas-Fort Worth TX | 4 | — | — | — | $7,711–$17,184 |
| Denver CO | 7 | $6,230 | $6,239 | $6,456 | $6,204–$8,031 |
| Detroit MI | 5 | $5,170 | $5,170 | $5,170 | $4,404–$8,165 |
| Georgia (statewide) | 1 | — | — | — | $7,268–$7,268 |
| Houston TX | 1 | — | — | — | $5,052–$5,052 |
| Kansas (statewide) | 1 | — | — | — | $8,230–$8,230 |
| Las Vegas NV | 2 | — | — | — | $2,986–$3,980 |
| Los Angeles CA | 2 | — | — | — | $15,151–$25,486 |
| Nashville TN | 4 | — | — | — | $3,649–$6,638 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $6,353–$11,080 |
| Ohio (statewide) | 1 | — | — | — | $6,500–$6,500 |
| Pennsylvania (statewide) | 1 | — | — | — | $12,476–$12,476 |
| Philadelphia PA | 5 | $7,273 | $9,071 | $11,100 | $6,860–$13,320 |
| Phoenix AZ | 3 | — | — | — | $3,786–$4,714 |
| Portland OR | 6 | $14,470 | $14,470 | $20,066 | $14,470–$21,931 |
| Richmond VA | 2 | — | — | — | $9,000–$9,000 |
| San Antonio TX | 1 | — | — | — | $6,058–$6,058 |
| San Francisco Bay Area CA | 2 | — | — | — | $22,002–$35,334 |
| Seattle-Tacoma WA | 6 | $12,620 | $13,656 | $15,024 | $10,953–$16,845 |
| Tampa FL | 2 | — | — | — | $6,384–$9,238 |
| Washington DC | 4 | — | — | — | $4,209–$8,796 |
| Wisconsin (statewide) | 1 | — | — | — | $7,117–$7,117 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Henderson Hospital | Las Vegas NV | $2,986 | 0.7× | 4 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $3,649 | 0.9× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $3,666 | 0.9× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,682 | 0.9× | 2 | 2026-01-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,786 | 0.9× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,786 | 0.9× | 5 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,980 | 0.9× | 6 | 2026-07-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,983 | 1.0× | 8 | 2025-10-01 |
| George Washington Univ Hospital | Washington DC | $4,209 | 0.9× | 3 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,324 | 1.1× | 4 | 2026-07-14 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,404 | 1.1× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,714 | 1.1× | 4 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $4,843 | 1.0× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,985 | 1.1× | 3 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $5,052 | 1.2× | 6 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $5,118 | 1.2× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $5,170 | 1.3× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $5,170 | 1.3× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $5,170 | 1.3× | 1 | 2026-05-01 |
| New England Baptist Hospital | Boston MA | $5,538 | 1.1× | 4 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.1× | 5 | 2026-06-10 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,916 | 1.3× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,024 | 1.2× | 4 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $6,058 | 1.5× | 5 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $6,180 | 1.4× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $6,204 | 1.4× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $6,220 | 1.4× | 4 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $6,239 | 1.4× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $6,239 | 1.4× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $6,353 | 1.2× | 9 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $6,384 | 1.5× | 3 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $6,454 | 1.5× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,459 | 1.5× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $6,500 | 1.6× | 4 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $6,606 | 1.6× | 6 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,638 | 1.7× | 5 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $6,860 | 1.6× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $6,892 | 1.4× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $6,895 | 1.6× | 5 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $7,117 | 1.7× | 3 | 2026-01-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,268 | 2.0× | 3 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $7,273 | 1.7× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $7,411 | 1.9× | 1 | 2026-06-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $7,711 | 1.9× | 3 | 2026-06-29 |
| Winchester Hospital | Boston MA | $7,842 | 1.6× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $8,031 | 1.8× | 3 | 2025-11-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $8,038 | 1.6× | 1 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $8,165 | 2.0× | 1 | 2026-09-02 |
| Menorah Medical Center | Kansas (statewide) | $8,230 | 2.1× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $8,466 | 2.2× | 1 | 2026-06-15 |
| St David's Medical Center | Austin TX | $8,483 | 2.0× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $8,702 | 2.2× | 3 | 2026-06-16 |
| Beth Israel Deaconess Medical Center | Boston MA | $8,725 | 1.8× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $8,764 | 2.0× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $8,796 | 2.1× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,000 | 2.2× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $9,000 | 2.2× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,071 | 1.9× | 3 | 2026-09-15 |
| Morton Plant Hospital | Tampa FL | $9,238 | 2.1× | 2 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $9,587 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,953 | 2.3× | 5 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $10,997 | 2.6× | 5 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $11,080 | 2.1× | 7 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,100 | 2.6× | 3 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $11,960 | 2.9× | 5 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $12,476 | 3.0× | 6 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $12,564 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $12,786 | 2.6× | 6 | 2026-02-28 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 2.9× | 1 | 2026-03-24 |
| University of Chicago Medical Center | Chicago IL | $13,687 | 3.1× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $14,470 | 3.1× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $14,470 | 3.1× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $14,470 | 3.1× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $14,470 | 3.1× | 5 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $14,527 | 3.0× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $15,151 | 2.9× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $15,190 | 3.1× | 7 | 2026-08-27 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,402 | 3.1× | 5 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,845 | 3.5× | 6 | 2026-08-27 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $17,184 | 4.1× | 2 | 2026-04-21 |
| Providence St Vincent Medical Center | Portland OR | $21,931 | 4.8× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $21,931 | 4.8× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $22,002 | 3.8× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 4.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $35,334 | 5.8× | 4 | 2026-04-01 |
CPT 67042: Vit for Macular Hole
87 hospitals in 29 markets. National Medicare rate $4,223, surgery center $2,204.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,006–$7,006 |
| Austin TX | 2 | — | — | — | $3,666–$8,970 |
| Boston MA | 7 | $5,687 | $6,038 | $6,490 | $4,961–$8,725 |
| California (statewide) | 1 | — | — | — | $16,949–$16,949 |
| Chicago IL | 5 | $5,333 | $6,132 | $8,167 | $4,985–$13,687 |
| Cleveland OH | 5 | $7,411 | $8,466 | $9,509 | $6,053–$9,587 |
| Dallas-Fort Worth TX | 4 | — | — | — | $10,691–$17,184 |
| Denver CO | 7 | $6,572 | $7,493 | $7,828 | $5,727–$9,365 |
| Detroit MI | 6 | $2,580 | $2,584 | $4,237 | $2,288–$8,165 |
| Georgia (statewide) | 1 | — | — | — | $8,655–$8,655 |
| Houston TX | 1 | — | — | — | $9,026–$9,026 |
| Indianapolis IN | 2 | — | — | — | $2,464–$2,464 |
| Kansas (statewide) | 1 | — | — | — | $8,028–$8,028 |
| Las Vegas NV | 2 | — | — | — | $4,328–$4,334 |
| Los Angeles CA | 2 | — | — | — | $18,272–$25,486 |
| Nashville TN | 4 | — | — | — | $3,649–$6,638 |
| New York City | 2 | — | — | — | $6,787–$12,266 |
| Ohio (statewide) | 1 | — | — | — | $6,500–$6,500 |
| Pennsylvania (statewide) | 1 | — | — | — | $12,476–$12,476 |
| Philadelphia PA | 5 | $8,151 | $10,400 | $11,334 | $7,738–$12,874 |
| Phoenix AZ | 3 | — | — | — | $6,164–$6,608 |
| Portland OR | 6 | $15,979 | $15,979 | $20,992 | $15,979–$22,663 |
| Richmond VA | 2 | — | — | — | $11,102–$11,102 |
| San Antonio TX | 1 | — | — | — | $8,286–$8,286 |
| San Francisco Bay Area CA | 2 | — | — | — | $24,333–$37,558 |
| Seattle-Tacoma WA | 6 | $14,376 | $14,452 | $15,024 | $10,953–$16,845 |
| Tampa FL | 2 | — | — | — | $7,507–$9,238 |
| Washington DC | 4 | — | — | — | $5,781–$10,665 |
| Wisconsin (statewide) | 1 | — | — | — | $7,117–$7,117 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,288 | 0.6× | 1 | 2026-05-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $2,464 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $2,464 | 0.6× | 1 | 2026-01-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,580 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,580 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $2,589 | 0.6× | 1 | 2026-05-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $3,649 | 0.9× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $3,666 | 0.9× | 1 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,983 | 1.0× | 8 | 2025-10-01 |
| Henderson Hospital | Las Vegas NV | $4,328 | 1.0× | 4 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,334 | 1.0× | 6 | 2026-07-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $4,510 | 1.1× | 2 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,786 | 1.2× | 1 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $4,961 | 1.0× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,985 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $5,333 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $5,538 | 1.1× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $5,727 | 1.3× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,727 | 1.3× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $5,781 | 1.2× | 3 | 2026-09-01 |
| Winchester Hospital | Boston MA | $5,836 | 1.2× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,038 | 1.2× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $6,053 | 1.6× | 4 | 2026-07-14 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,088 | 1.2× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $6,132 | 1.4× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $6,164 | 1.4× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $6,164 | 1.4× | 5 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $6,500 | 1.6× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $6,608 | 1.5× | 4 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,638 | 1.7× | 5 | 2026-09-01 |
| Montefiore Medical Center | New York City | $6,787 | 1.3× | 9 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $6,892 | 1.4× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $7,006 | 1.7× | 6 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $7,117 | 1.7× | 3 | 2026-01-01 |
| Medina Hospital | Cleveland OH | $7,411 | 1.9× | 1 | 2026-06-15 |
| HCA HealthONE Swedish | Denver CO | $7,418 | 1.7× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,493 | 1.7× | 4 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $7,507 | 1.7× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $7,680 | 1.8× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $7,738 | 1.8× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,977 | 1.8× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $8,028 | 2.0× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $8,151 | 1.9× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $8,165 | 2.0× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 1.8× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $8,286 | 2.0× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $8,466 | 2.2× | 1 | 2026-06-15 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,655 | 2.4× | 3 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $8,725 | 1.8× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,970 | 2.2× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $9,026 | 2.2× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $9,238 | 2.1× | 2 | 2026-01-01 |
| Reston Hospital Center | Washington DC | $9,256 | 2.2× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $9,256 | 2.2× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $9,365 | 2.1× | 3 | 2025-11-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $9,509 | 2.4× | 3 | 2026-06-16 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $9,587 | 2.5× | 1 | 2026-06-15 |
| Jefferson Stratford Hospital | Philadelphia PA | $10,400 | 2.2× | 3 | 2026-09-15 |
| Inova Alexandria Hospital | Washington DC | $10,665 | 2.5× | 5 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $10,691 | 2.6× | 3 | 2026-06-29 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,953 | 2.3× | 5 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $11,102 | 2.8× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $11,102 | 2.8× | 5 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,334 | 2.7× | 3 | 2026-09-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $11,700 | 2.8× | 5 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $12,266 | 2.4× | 7 | 2026-01-01 |
| Medical City Plano | Dallas-Fort Worth TX | $12,435 | 3.0× | 5 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $12,476 | 3.0× | 6 | 2026-07-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 2.8× | 1 | 2026-03-24 |
| University of Chicago Medical Center | Chicago IL | $13,687 | 3.1× | 2 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $14,376 | 3.0× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $14,376 | 3.0× | 6 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $14,527 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $15,190 | 3.1× | 7 | 2026-08-27 |
| Legacy Emanuel Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,845 | 3.5× | 6 | 2026-08-27 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,949 | 3.2× | 5 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $17,184 | 4.1× | 2 | 2026-04-21 |
| Keck Hospital Of Usc | Los Angeles CA | $18,272 | 3.4× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $22,663 | 4.9× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,663 | 4.9× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $24,333 | 4.2× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,486 | 4.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $37,558 | 6.2× | 4 | 2026-04-01 |
CPT 67041: Vit for Macular Pucker
84 hospitals in 28 markets. National Medicare rate $4,223, surgery center $2,204.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,006–$7,006 |
| Austin TX | 2 | — | — | — | $3,666–$8,970 |
| Boston MA | 7 | $5,687 | $6,038 | $6,490 | $4,961–$8,725 |
| California (statewide) | 1 | — | — | — | $16,949–$16,949 |
| Chicago IL | 5 | $5,333 | $6,132 | $8,167 | $4,985–$13,687 |
| Cleveland OH | 4 | — | — | — | $6,053–$9,587 |
| Dallas-Fort Worth TX | 4 | — | — | — | $10,691–$17,184 |
| Denver CO | 7 | $6,572 | $7,493 | $7,828 | $5,727–$9,365 |
| Detroit MI | 6 | $2,580 | $2,584 | $4,267 | $2,288–$8,165 |
| Georgia (statewide) | 1 | — | — | — | $8,655–$8,655 |
| Houston TX | 1 | — | — | — | $9,026–$9,026 |
| Kansas (statewide) | 1 | — | — | — | $8,040–$8,040 |
| Las Vegas NV | 2 | — | — | — | $4,328–$4,416 |
| Los Angeles CA | 2 | — | — | — | $18,272–$22,055 |
| Nashville TN | 4 | — | — | — | $3,649–$6,638 |
| New York City | 2 | — | — | — | $6,787–$12,266 |
| Ohio (statewide) | 1 | — | — | — | $6,500–$6,500 |
| Pennsylvania (statewide) | 1 | — | — | — | $12,476–$12,476 |
| Philadelphia PA | 5 | $8,151 | $10,400 | $11,334 | $7,738–$12,874 |
| Phoenix AZ | 3 | — | — | — | $6,343–$6,698 |
| Portland OR | 6 | $15,979 | $15,979 | $20,992 | $15,979–$22,663 |
| Richmond VA | 2 | — | — | — | $11,102–$11,102 |
| San Antonio TX | 1 | — | — | — | $8,286–$8,286 |
| San Francisco Bay Area CA | 2 | — | — | — | $24,263–$37,558 |
| Seattle-Tacoma WA | 6 | $14,376 | $14,452 | $15,024 | $10,953–$16,845 |
| Tampa FL | 2 | — | — | — | $7,507–$9,238 |
| Washington DC | 4 | — | — | — | $5,781–$10,665 |
| Wisconsin (statewide) | 1 | — | — | — | $7,117–$7,117 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,288 | 0.6× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,580 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,580 | 0.6× | 1 | 2026-05-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $2,589 | 0.6× | 1 | 2026-05-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $3,649 | 0.9× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $3,666 | 0.9× | 1 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,983 | 1.0× | 8 | 2025-10-01 |
| Henderson Hospital | Las Vegas NV | $4,328 | 1.0× | 4 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,416 | 1.0× | 6 | 2026-07-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $4,510 | 1.1× | 2 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,826 | 1.2× | 1 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $4,961 | 1.0× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,985 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $5,333 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $5,538 | 1.1× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $5,727 | 1.3× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,727 | 1.3× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $5,781 | 1.2× | 3 | 2026-09-01 |
| Winchester Hospital | Boston MA | $5,836 | 1.2× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,038 | 1.2× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $6,053 | 1.6× | 4 | 2026-07-14 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,088 | 1.2× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $6,132 | 1.4× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $6,343 | 1.4× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $6,343 | 1.4× | 5 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $6,500 | 1.6× | 4 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,638 | 1.7× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $6,698 | 1.5× | 4 | 2026-04-01 |
| Montefiore Medical Center | New York City | $6,787 | 1.3× | 9 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $6,892 | 1.4× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $7,006 | 1.7× | 6 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $7,117 | 1.7× | 3 | 2026-01-01 |
| Medina Hospital | Cleveland OH | $7,411 | 1.9× | 1 | 2026-06-15 |
| HCA HealthONE Swedish | Denver CO | $7,418 | 1.7× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,493 | 1.7× | 4 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $7,507 | 1.7× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $7,680 | 1.8× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $7,738 | 1.8× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,977 | 1.8× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $8,040 | 2.0× | 5 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $8,151 | 1.9× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $8,165 | 2.0× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 1.8× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $8,286 | 2.0× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $8,466 | 2.2× | 1 | 2026-06-15 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,655 | 2.4× | 3 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $8,725 | 1.8× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,970 | 2.2× | 5 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $9,026 | 2.2× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $9,238 | 2.1× | 2 | 2026-01-01 |
| Reston Hospital Center | Washington DC | $9,256 | 2.2× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $9,256 | 2.2× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $9,365 | 2.1× | 3 | 2025-11-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $9,587 | 2.5× | 1 | 2026-06-15 |
| Jefferson Stratford Hospital | Philadelphia PA | $10,400 | 2.2× | 3 | 2026-09-15 |
| Inova Alexandria Hospital | Washington DC | $10,665 | 2.5× | 5 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $10,691 | 2.6× | 3 | 2026-06-29 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,953 | 2.3× | 5 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $11,102 | 2.8× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $11,102 | 2.8× | 5 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,334 | 2.7× | 3 | 2026-09-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $11,700 | 2.8× | 5 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $12,266 | 2.4× | 7 | 2026-01-01 |
| Medical City Plano | Dallas-Fort Worth TX | $12,435 | 3.0× | 5 | 2026-09-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $12,476 | 3.0× | 6 | 2026-07-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 2.8× | 1 | 2026-03-24 |
| University of Chicago Medical Center | Chicago IL | $13,687 | 3.1× | 2 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $14,376 | 3.0× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $14,376 | 3.0× | 6 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $14,527 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $15,190 | 3.1× | 7 | 2026-08-27 |
| Legacy Emanuel Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,979 | 3.5× | 5 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,845 | 3.5× | 6 | 2026-08-27 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,949 | 3.2× | 5 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $17,184 | 4.1× | 2 | 2026-04-21 |
| Keck Hospital Of Usc | Los Angeles CA | $18,272 | 3.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $22,055 | 4.2× | 3 | 2025-11-26 |
| Providence St Vincent Medical Center | Portland OR | $22,663 | 4.9× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,663 | 4.9× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $24,263 | 4.2× | 6 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $37,558 | 6.2× | 4 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for vitrectomy (retina surgery)?
Across 85 hospitals in 29 metro areas that post a usable dollar rate, the median commercial rate for CPT 67036, hospital outpatient is $7,411, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,916 to $11,100. 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: Henderson Hospital ($2,986), Ascension Saint Thomas Rutherford ($3,649), Ascension Seton Medical Center Austin ($3,666). Highest: Stanford Health Care ($35,334), Cedars-Sinai Medical Center ($25,486), John Muir Medical Center - Walnut Creek Campus ($22,002). Coverage is limited to the markets listed on this page.