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Vitrectomy (retina surgery) in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 67036

Hospital · insurerRate× MedicarePlans
Elmhurst Hospital Center median $4,222 · local Medicare $5,160 · file 2026-09-05
Aetna$3,2450.6×1
Carelon$3,3070.6×1
Cigna$4,2850.8×1
Elevance/Anthem/Empire$3,9050.8×14
EmblemHealth$4,1600.8×2
Oscar$4,6770.9×1
UnitedHealthcare$4,4930.9×3
Vaccn$4,7600.9×1
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $4,223 · local Medicare $5,160 · file 2026-09-05
Aetna$3,2450.6×1
Carelon$3,3090.6×1
Cigna$4,2850.8×1
Elevance/Anthem/Empire$3,9530.8×14
EmblemHealth$4,1610.8×2
Oscar$4,6770.9×1
UnitedHealthcare$4,4930.9×3
Vaccn$4,7600.9×1
South Brooklyn Health median $4,228 · local Medicare $5,160 · file 2026-09-05
Aetna$3,2450.6×1
Carelon$3,3270.6×1
Cigna$4,2850.8×1
Elevance/Anthem/Empire$3,9360.8×14
EmblemHealth$4,1710.8×2
Oscar$4,6770.9×1
UnitedHealthcare$4,4930.9×3
Vaccn$4,7600.9×1
Jacobi Medical Center median $4,229 · local Medicare $5,160 · file 2026-09-05
Aetna$3,2450.6×1
Carelon$3,3320.6×1
Cigna$4,2850.8×1
Elevance/Anthem/Empire$3,9290.8×14
EmblemHealth$4,1730.8×2
Oscar$4,6770.9×1
UnitedHealthcare$4,4930.9×3
Vaccn$4,7600.9×1
Montefiore Medical Center median $6,353 · local Medicare $5,160 · file 2026-04-01
1199SEIU$6,1041.2×1
Aetna$3,4310.7×4
Christian Brothers$25,8395.0×1
Cigna$4,1310.8×5
Elevance/Anthem/Empire$10,0511.9×15
EmblemHealth$9,4161.8×8
Healthfirst$4,3860.8×1
Magnacare (rental network)$3,4520.7×1
MultiPlan/PHCS (rental network)$2,7160.5×1
Mvp$3,8030.7×2
Nat Assoc Letter Carriers$25,8395.0×1
Nippon Life Insurance$25,8395.0×1
Northwell$3,1950.6×2
Oscar$6,6021.3×1
Point Comfort$5,1601.0×1
UnitedHealthcare$17,8743.5×6
Maimonides Medical Center median $8,008 · local Medicare $5,160 · file 2026-04-01
1199SEIU$3,8980.8×1
Aetna$6,6341.3×3
Centivo$9,0101.7×1
Elevance/Anthem/Empire$9,0481.8×2
EmblemHealth$15,6853.0×1
Magnacare (rental network)$8,0561.6×1
UnitedHealthcare$7,0071.4×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,810 · local Medicare $5,160 · file 2026-01-01
1199SEIU$8,5391.7×3
Aetna$11,0802.1×24
BCBS (other)$14,5572.8×16
Centerlight$4,8550.9×2
Cigna$6,4871.3×22
Elevance/Anthem/Empire$14,5572.8×36
EmblemHealth$8,4271.6×73
Magnacare (rental network)$25,7985.0×10
UnitedHealthcare$16,3833.2×24

CPT 67042

Hospital · insurerRate× MedicarePlans
Elmhurst Hospital Center median $3,722 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3070.6×1
Elevance/Anthem/Empire$4,1370.8×7
EmblemHealth$3,3070.6×1
Vaccn$4,7600.9×1
Jacobi Medical Center median $3,728 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3320.6×1
Elevance/Anthem/Empire$4,1230.8×7
EmblemHealth$3,3320.6×1
Vaccn$4,7600.9×1
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $3,743 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3090.6×1
Elevance/Anthem/Empire$4,1770.8×7
EmblemHealth$3,3090.6×1
Vaccn$4,7600.9×1
South Brooklyn Health median $3,745 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3270.6×1
Elevance/Anthem/Empire$4,1630.8×7
EmblemHealth$3,3270.6×1
Vaccn$4,7600.9×1
Jamaica Hospital Medical Center median $4,364 · local Medicare $5,160 · file 2026-03-25
Aetna$3,9960.8×4
Centerlight Healthcare$5,1341.0×1
Centivo$4,6790.9×1
Cigna$4,2500.8×1
Create Health Plan$3,3990.7×1
Elderplan$5,2371.0×1
Elevance/Anthem/Empire$4,1160.8×3
EmblemHealth$6,8151.3×2
Healthfirst$4,3640.8×1
MagnaCare (rental network)$4,5550.9×1
Montefiore Medical Center median $6,787 · local Medicare $5,160 · file 2026-04-01
1199SEIU$6,9721.4×1
Aetna$4,3610.8×4
Christian Brothers$25,8395.0×1
Cigna$6,4861.3×5
Elevance/Anthem/Empire$10,6802.1×14
EmblemHealth$11,8752.3×8
Healthfirst$4,3860.8×1
Magnacare (rental network)$4,4140.9×1
MultiPlan/PHCS (rental network)$3,4520.7×1
Mvp$5,9711.2×2
Nat Assoc Letter Carriers$25,8395.0×1
Nippon Life Insurance$25,8395.0×1
Northwell$4,0610.8×2
Oscar$6,6021.3×1
Point Comfort$5,1601.0×1
UnitedHealthcare$18,8863.7×5
Maimonides Medical Center median $8,304 · local Medicare $5,160 · file 2026-04-01
1199SEIU$4,4630.9×1
Aetna$7,5971.5×3
Centivo$9,0101.7×1
Elevance/Anthem/Empire$9,0481.8×2
EmblemHealth$15,6853.0×1
Magnacare (rental network)$8,0561.6×1
UnitedHealthcare$7,0071.4×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $11,003 · local Medicare $5,160 · file 2026-01-01
1199SEIU$9,7401.9×3
Aetna$12,2662.4×24
BCBS (other)$14,5572.8×16
Centerlight$4,8550.9×2
Cigna$6,4871.3×22
Elevance/Anthem/Empire$14,5572.8×36
EmblemHealth$8,4271.6×73
Magnacare (rental network)$25,7985.0×10
UnitedHealthcare$16,3833.2×24

CPT 67041

Hospital · insurerRate× MedicarePlans
Elmhurst Hospital Center median $3,722 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3070.6×1
Elevance/Anthem/Empire$4,1370.8×7
EmblemHealth$3,3070.6×1
Vaccn$4,7600.9×1
Jacobi Medical Center median $3,728 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3320.6×1
Elevance/Anthem/Empire$4,1230.8×7
EmblemHealth$3,3320.6×1
Vaccn$4,7600.9×1
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $3,743 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3090.6×1
Elevance/Anthem/Empire$4,1770.8×7
EmblemHealth$3,3090.6×1
Vaccn$4,7600.9×1
South Brooklyn Health median $3,745 · local Medicare $5,160 · file 2026-09-05
Carelon$3,3270.6×1
Elevance/Anthem/Empire$4,1630.8×7
EmblemHealth$3,3270.6×1
Vaccn$4,7600.9×1
Montefiore Medical Center median $6,787 · local Medicare $5,160 · file 2026-04-01
1199SEIU$6,9721.4×1
Aetna$4,3610.8×4
Christian Brothers$25,8395.0×1
Cigna$5,6741.1×5
Elevance/Anthem/Empire$10,6802.1×14
EmblemHealth$11,8752.3×8
Healthfirst$4,3860.8×1
Magnacare (rental network)$4,4140.9×1
MultiPlan/PHCS (rental network)$3,4520.7×1
Mvp$5,2241.0×2
Nat Assoc Letter Carriers$25,8395.0×1
Nippon Life Insurance$25,8395.0×1
Northwell$4,0610.8×2
Oscar$6,6021.3×1
Point Comfort$5,1601.0×1
UnitedHealthcare$18,8863.7×5
Maimonides Medical Center median $8,304 · local Medicare $5,160 · file 2026-04-01
1199SEIU$4,4630.9×1
Aetna$7,5971.5×3
Centivo$9,0101.7×1
Elevance/Anthem/Empire$9,0481.8×2
EmblemHealth$15,6853.0×1
Magnacare (rental network)$8,0561.6×1
UnitedHealthcare$7,0071.4×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $11,003 · local Medicare $5,160 · file 2026-01-01
1199SEIU$9,7401.9×3
Aetna$12,2662.4×24
BCBS (other)$14,5572.8×16
Centerlight$4,8550.9×2
Cigna$6,4871.3×22
Elevance/Anthem/Empire$14,5572.8×36
EmblemHealth$8,4271.6×73
Magnacare (rental network)$25,7985.0×10
UnitedHealthcare$16,3833.2×24

Questions

How much does vitrectomy (retina surgery) cost with commercial insurance in New York City?

7 New York City hospitals post usable commercial rates for CPT 67036, hospital outpatient. The median across hospitals is $4,229; hospital medians range from $4,222 to $9,810. Your cost depends on your plan's deductible and coinsurance.