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Vitrectomy (retina surgery) in Idaho: what insurers pay

Posted commercial rates at 13 Idaho hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 67036

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$3,9961.0×12026-04-01
North Canyon Medical Center Gooding$4,0231.0×12026-04-13
Treasure Valley Hospital Boise$4,1761.0×32026-09-02
St Luke'S Nampa Medical Center Nampa$4,2531.0×72026-03-25
St Luke'S Jerome Jerome$4,2531.0×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$4,2531.0×82026-03-25
Intermountain Health Cassia Regional Hospital Burley$4,2531.0×12026-08-05
Mountain View Hospital Idaho Falls$6,4241.6×22026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$9,1882.3×32026-03-16
Kootenai Health Coeur D'Alene$9,6272.3×22026-03-27
West Valley Medical Center Caldwell$10,5332.5×32026-09-01
St Luke'S Regional Medical Center Boise$12,3193.0×32026-03-25
Saint Alphonsus Regional Medical Center Boise$12,9253.1×22026-03-31

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$3,9961.0×12026-04-01
Saint Alphonsus Regional Medical Center Boise$4,0001.0×12026-03-31
North Canyon Medical Center Gooding$4,0231.0×12026-04-13
Treasure Valley Hospital Boise$4,1761.0×32026-09-02
St Luke'S Nampa Medical Center Nampa$4,2531.0×72026-03-25
St Luke'S Jerome Jerome$4,2531.0×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$4,2531.0×82026-03-25
Intermountain Health Cassia Regional Hospital Burley$4,2531.0×12026-08-05
Kootenai Health Coeur D'Alene$9,6272.3×22026-03-27
West Valley Medical Center Caldwell$10,5332.5×32026-09-01
St Luke'S Regional Medical Center Boise$12,3193.0×32026-03-25

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$3,9961.0×12026-04-01
Saint Alphonsus Regional Medical Center Boise$4,0001.0×12026-03-31
North Canyon Medical Center Gooding$4,0231.0×12026-04-13
Treasure Valley Hospital Boise$4,1761.0×32026-09-02
St Luke'S Nampa Medical Center Nampa$4,2531.0×72026-03-25
St Luke'S Jerome Jerome$4,2531.0×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$4,2531.0×82026-03-25
Intermountain Health Cassia Regional Hospital Burley$4,2531.0×12026-08-05
Kootenai Health Coeur D'Alene$9,6272.3×22026-03-27
West Valley Medical Center Caldwell$10,5332.5×32026-09-01
St Luke'S Regional Medical Center Boise$12,3193.0×32026-03-25

Questions

How much do insurers pay for vitrectomy (retina surgery) in Idaho?

13 Idaho hospitals post usable commercial rates for vitrectomy (retina surgery) in their federal price-transparency files. For CPT 67036, hospital outpatient, the median across 13 hospitals is $4,253, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.