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Vitrectomy (retina surgery) in Michigan: what insurers pay

Posted commercial rates at 6 Michigan 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
Henry Ford Health Rochester Hospital Rochester$4,4041.1×12026-01-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$5,1701.3×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$5,1701.3×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$5,1701.3×12026-05-01
Harper University Hospital Detroit$8,1652.0×12026-09-02

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$2,2880.6×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$2,5800.6×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$2,5800.6×12026-05-01
Corewell Health Dearborn Hospital Dearborn$2,5890.6×12026-05-01
Henry Ford Health Rochester Hospital Rochester$4,7861.2×12026-01-01
Harper University Hospital Detroit$8,1652.0×12026-09-02

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$2,2880.6×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$2,5800.6×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$2,5800.6×12026-05-01
Corewell Health Dearborn Hospital Dearborn$2,5890.6×12026-05-01
Henry Ford Health Rochester Hospital Rochester$4,8261.2×12026-01-01
Harper University Hospital Detroit$8,1652.0×12026-09-02

Questions

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

6 Michigan 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 $5,170, 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.