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

Posted commercial rates at 3 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
Stony Brook University Hospital Stony Brook$5,7831.1×52026-06-10
Montefiore Medical Center Bronx$6,3531.2×92026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$11,0802.1×72026-01-01

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$6,7871.3×92026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$12,2662.4×72026-01-01

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$6,7871.3×92026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$12,2662.4×72026-01-01

Questions

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

3 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 3 hospitals is $6,353, 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.