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Vitrectomy (retina surgery) in Illinois: what insurers pay

Posted commercial rates at 5 Illinois 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
Endeavor Health Northwest Community Hospital Arlington Heights$4,9851.1×32026-04-01
Endeavor Health Edward Hospital Naperville$5,1181.2×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$5,9161.3×22026-04-01
Endeavor Health Evanston Hospital Evanston$6,1801.4×32026-04-01
University of Chicago Medical Center Chicago$13,6873.1×22026-04-01

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$4,9851.1×32026-04-01
Endeavor Health Edward Hospital Naperville$5,3331.2×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$6,1321.4×22026-04-01
Endeavor Health Evanston Hospital Evanston$8,1671.8×32026-04-01
University of Chicago Medical Center Chicago$13,6873.1×22026-04-01

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$4,9851.1×32026-04-01
Endeavor Health Edward Hospital Naperville$5,3331.2×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$6,1321.4×22026-04-01
Endeavor Health Evanston Hospital Evanston$8,1671.8×32026-04-01
University of Chicago Medical Center Chicago$13,6873.1×22026-04-01

Questions

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

5 Illinois hospitals post usable commercial rates for vitrectomy (retina surgery) in their federal price-transparency files. For CPT 67036, hospital outpatient, the median across 5 hospitals is $5,916, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.