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Vitrectomy (retina surgery) in New York: what insurers pay

Posted commercial rates at 38 New York 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
Arnot Ogden Medical Center Elmira$3,0240.6×12026-03-27
Glens Falls Hospital Glens Falls$3,2850.6×22025-12-31
United Memorial Medical Center Batavia$3,4290.7×12026-04-01
Nassau University Medical Center East Meadow$3,7080.7×22025-10-28
Bronxcare Hospital Center Bronx$4,0460.8×42026-05-05
Harlem Hospital Center New York$4,1980.8×82026-09-05
Elmhurst Hospital Center Elmhurst$4,2220.8×82026-09-05
Metropolitan Hospital Center New York$4,2220.8×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$4,2230.8×82026-09-05
Queens Hospital Center Jamaica$4,2260.8×82026-09-05
South Brooklyn Health Brooklyn$4,2280.8×82026-09-05
Kings County Hospital Center Brooklyn$4,2280.8×82026-09-05
Bellevue Hospital Center New York$4,2280.8×82026-09-05
Jacobi Medical Center Bronx$4,2290.8×82026-09-05
Saratoga Hospital Saratoga Springs$4,7600.9×12025-12-31
Garnet Health Medical Center Middletown$5,3861.0×122026-04-01
Garnet Health Medical Center Catskills Harris$5,3861.0×102026-04-01
Stony Brook University Hospital Stony Brook$5,7831.1×52026-06-10
Montefiore Mount Vernon Hospital Mount Vernon$6,1341.2×112026-04-01
Montefiore Medical Center Bronx$6,3531.2×162026-04-01
Columbia Memorial Hospital Hudson$7,1411.4×12025-12-31
Highland Hospital Rochester$7,4101.4×42026-07-01
Erie County Medical Center Buffalo$7,5271.5×62026-08-25
Maimonides Medical Center Brooklyn$8,0081.6×72026-04-01
Samaritan Hospital Troy$8,2041.6×242026-03-31
St Joseph'S Medical Center Yonkers$8,3151.6×12026-07-13
Roswell Park Cancer Institute Buffalo$8,6321.7×32026-04-01
Albany Medical Center Hospital Albany$8,6901.7×62025-12-31
Strong Memorial Hospital Rochester$8,8531.7×42026-07-01
Jones Memorial Hospital Wellsville$8,8671.7×72026-01-01
Geneva General Hospital Geneva$9,1031.8×32026-08-27
Crouse Hospital Syracuse$9,2661.8×32026-05-19
Samaritan Medical Center Watertown$9,5181.8×42026-02-02
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,8101.9×92026-01-01
Nicholas H Noyes Memorial Hospital Dansville$10,5722.0×62026-01-01
St James Hospital Hornell$12,1192.4×52026-01-01
Medina Memorial Hospital Medina$14,9642.9×22026-07-29

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Arnot Ogden Medical Center Elmira$3,0240.6×12026-03-27
Glens Falls Hospital Glens Falls$3,2850.6×22025-12-31
Albany Medical Center Hospital Albany$3,3020.6×12025-12-31
Nassau University Medical Center East Meadow$3,3760.7×32025-10-28
Elmhurst Hospital Center Elmhurst$3,7220.7×42026-09-05
Jacobi Medical Center Bronx$3,7280.7×42026-09-05
Metropolitan Hospital Center New York$3,7340.7×42026-09-05
Harlem Hospital Center New York$3,7420.7×42026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$3,7430.7×42026-09-05
Kings County Hospital Center Brooklyn$3,7440.7×42026-09-05
South Brooklyn Health Brooklyn$3,7450.7×42026-09-05
Bellevue Hospital Center New York$3,7510.7×42026-09-05
Queens Hospital Center Jamaica$3,7560.7×42026-09-05
Bronxcare Hospital Center Bronx$4,0460.8×42026-05-05
United Memorial Medical Center Batavia$4,3170.8×12026-04-01
Jamaica Hospital Medical Center Jamaica$4,3640.8×102026-03-25
Saratoga Hospital Saratoga Springs$4,7600.9×12025-12-31
Garnet Health Medical Center Catskills Harris$5,4141.1×102026-04-01
Garnet Health Medical Center Middletown$6,5411.3×122026-04-01
Montefiore Medical Center Bronx$6,7871.3×162026-04-01
Columbia Memorial Hospital Hudson$7,1411.4×12025-12-31
Highland Hospital Rochester$7,4101.4×42026-07-01
Montefiore Mount Vernon Hospital Mount Vernon$7,4641.4×102026-04-01
Erie County Medical Center Buffalo$7,8321.5×62026-08-25
Roswell Park Cancer Institute Buffalo$7,9611.5×32026-04-01
Maimonides Medical Center Brooklyn$8,3041.6×72026-04-01
St Joseph'S Medical Center Yonkers$8,3151.6×12026-07-13
Samaritan Hospital Troy$8,7101.7×242026-03-31
Strong Memorial Hospital Rochester$8,8531.7×42026-07-01
Jones Memorial Hospital Wellsville$8,8671.7×72026-01-01
Geneva General Hospital Geneva$9,1031.8×32026-08-27
Crouse Hospital Syracuse$9,2661.8×32026-05-19
Samaritan Medical Center Watertown$10,5382.0×42026-02-02
Nicholas H Noyes Memorial Hospital Dansville$10,5722.0×62026-01-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$11,0032.1×92026-01-01
St James Hospital Hornell$12,1192.4×52026-01-01
Medina Memorial Hospital Medina$14,9642.9×22026-07-29

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Arnot Ogden Medical Center Elmira$3,0240.6×12026-03-27
Glens Falls Hospital Glens Falls$3,2850.6×22025-12-31
Albany Medical Center Hospital Albany$3,3020.6×12025-12-31
Nassau University Medical Center East Meadow$3,3760.7×32025-10-28
Elmhurst Hospital Center Elmhurst$3,7220.7×42026-09-05
Jacobi Medical Center Bronx$3,7280.7×42026-09-05
Metropolitan Hospital Center New York$3,7340.7×42026-09-05
Harlem Hospital Center New York$3,7420.7×42026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$3,7430.7×42026-09-05
Kings County Hospital Center Brooklyn$3,7440.7×42026-09-05
South Brooklyn Health Brooklyn$3,7450.7×42026-09-05
Bellevue Hospital Center New York$3,7510.7×42026-09-05
Queens Hospital Center Jamaica$3,7560.7×42026-09-05
Bronxcare Hospital Center Bronx$4,0460.8×42026-05-05
United Memorial Medical Center Batavia$4,3180.8×12026-04-01
Saratoga Hospital Saratoga Springs$4,7600.9×12025-12-31
Garnet Health Medical Center Catskills Harris$5,4141.1×102026-04-01
Garnet Health Medical Center Middletown$6,5411.3×122026-04-01
Montefiore Medical Center Bronx$6,7871.3×162026-04-01
Columbia Memorial Hospital Hudson$7,1411.4×12025-12-31
Highland Hospital Rochester$7,4101.4×42026-07-01
Montefiore Mount Vernon Hospital Mount Vernon$7,4641.4×102026-04-01
Erie County Medical Center Buffalo$7,8321.5×62026-08-25
Roswell Park Cancer Institute Buffalo$7,9611.5×32026-04-01
Maimonides Medical Center Brooklyn$8,3041.6×72026-04-01
St Joseph'S Medical Center Yonkers$8,3151.6×12026-07-13
Samaritan Hospital Troy$8,7101.7×242026-03-31
Strong Memorial Hospital Rochester$8,8531.7×42026-07-01
Jones Memorial Hospital Wellsville$8,8671.7×72026-01-01
Geneva General Hospital Geneva$9,1031.8×32026-08-27
Crouse Hospital Syracuse$9,2661.8×32026-05-19
Samaritan Medical Center Watertown$10,5382.0×42026-02-02
Nicholas H Noyes Memorial Hospital Dansville$10,5722.0×62026-01-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$11,0032.1×92026-01-01
St James Hospital Hornell$12,1192.4×52026-01-01
Medina Memorial Hospital Medina$14,9642.9×22026-07-29

Questions

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

38 New York hospitals post usable commercial rates for vitrectomy (retina surgery) in their federal price-transparency files. For CPT 67036, hospital outpatient, the median across 37 hospitals is $6,134, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.