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Vitrectomy (retina surgery) in Pennsylvania: what insurers pay

Posted commercial rates at 35 Pennsylvania 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
Upmc Mercy Pittsburgh$2,3800.6×22026-03-06
Upmc Bedford Memorial Everett$3,5750.9×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$4,7981.1×62026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$5,1331.3×52026-09-21
Jefferson Lansdale Hospital Lansdale$5,1811.3×52026-09-15
Saint Vincent Hospital Erie$5,4311.4×72026-04-14
Temple University Hospital Philadelphia$5,7311.4×102026-04-13
Paoli Hospital Paoli$6,7701.7×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,8601.6×22026-04-01
Jefferson Health-Northeast Philadelphia$6,9121.6×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$6,9121.7×62026-09-15
Lankenau Medical Center Wynnewood$6,9441.7×22026-04-01
Wills Eye Hospital Philadelphia$6,9681.6×52026-03-30
Jefferson Abington Hospital Abington$7,2081.8×52026-09-15
Riddle Memorial Hospital Media$7,2731.7×22026-04-01
Jefferson Hospital Jefferson Hills$7,2921.8×62026-04-14
Grove City Hospital Grove City$7,3181.8×62026-04-14
Allegheny Valley Hospital Natrona$8,1702.0×62026-04-14
Canonsburg General Hospital Canonsburg$8,1902.0×62026-04-14
Forbes Hospital Monroeville$8,3482.1×72026-04-14
Ahn Wexford Hospital Wexford$8,8102.2×62026-04-14
St Clair Hospital Pittsburgh$9,2392.3×72026-03-31
Allegheny General Hospital Pittsburgh$10,1262.5×62026-04-14
West Penn Hospital Pittsburgh$10,1732.5×62026-04-14
Thomas Jefferson University Hospital Philadelphia$11,2172.6×42026-09-15
Lehigh Valley Hospital Allentown$12,4763.0×62026-07-01
Penn State Health Hampden Medical Center Enola$13,8133.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,9653.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$14,1813.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$14,6143.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$16,5804.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$16,6944.2×82026-07-01
Penn State Health St. Joseph Reading$18,2794.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$19,0144.5×82026-07-01

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Hospital Jefferson Hills$4,1021.0×72026-04-14
Upmc Mercy Pittsburgh$4,8521.2×22026-03-06
Jefferson Lansdale Hospital Lansdale$4,9161.2×52026-09-15
Saint Vincent Hospital Erie$5,0351.3×62026-04-14
Temple Health - Chestnut Hill Hospital Philadelphia$5,2241.2×62026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$5,9401.5×52026-09-21
Temple University Hospital Philadelphia$6,2541.5×92026-04-13
Forbes Hospital Monroeville$6,3421.6×62026-04-14
Grove City Hospital Grove City$6,4031.6×52026-04-14
Ahn Wexford Hospital Wexford$6,5251.6×62026-04-14
Canonsburg General Hospital Canonsburg$6,6381.6×62026-04-14
Allegheny Valley Hospital Natrona$6,7261.7×62026-04-14
Wills Eye Hospital Philadelphia$6,9681.6×42026-03-30
Jefferson Abington Hospital Abington$7,2081.8×52026-09-15
Allegheny General Hospital Pittsburgh$7,4501.9×62026-04-14
West Penn Hospital Pittsburgh$7,5351.9×62026-04-14
Paoli Hospital Paoli$7,6481.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,7381.8×22026-04-01
Lankenau Medical Center Wynnewood$7,8221.9×22026-04-01
Riddle Memorial Hospital Media$8,1511.9×22026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$8,9222.2×62026-09-15
Jefferson Health-Northeast Philadelphia$9,0762.1×62026-09-15
St Clair Hospital Pittsburgh$9,2392.3×72026-03-31
Lehigh Valley Hospital Allentown$12,4763.0×62026-07-01
St Luke'S Hospital Bethlehem Bethlehem$13,2293.1×32026-02-26
Penn State Health Hampden Medical Center Enola$13,8133.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,9653.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$14,1813.5×12026-03-27
Thomas Jefferson University Hospital Philadelphia$14,3013.4×42026-09-15
Lehigh Valley Hospital - Dickson City Dickson City$14,6143.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$16,5804.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$16,6944.2×82026-07-01
Penn State Health St. Joseph Reading$18,2794.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$19,0144.5×82026-07-01

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Hospital Jefferson Hills$4,1021.0×72026-04-14
Upmc Mercy Pittsburgh$4,3121.1×22026-03-06
Jefferson Lansdale Hospital Lansdale$4,9161.2×52026-09-15
Saint Vincent Hospital Erie$5,0351.3×62026-04-14
Holy Redeemer Hospital And Medical Center Meadowbrook$5,9401.5×52026-09-21
Temple University Hospital Philadelphia$6,2541.5×92026-04-13
Forbes Hospital Monroeville$6,3421.6×62026-04-14
Grove City Hospital Grove City$6,4031.6×52026-04-14
Ahn Wexford Hospital Wexford$6,5251.6×62026-04-14
Canonsburg General Hospital Canonsburg$6,6381.6×62026-04-14
Allegheny Valley Hospital Natrona$6,7261.7×62026-04-14
Wills Eye Hospital Philadelphia$6,9681.6×42026-03-30
Jefferson Abington Hospital Abington$7,2081.8×52026-09-15
Allegheny General Hospital Pittsburgh$7,4501.9×62026-04-14
West Penn Hospital Pittsburgh$7,5361.9×62026-04-14
Paoli Hospital Paoli$7,6481.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,7381.8×22026-04-01
Lankenau Medical Center Wynnewood$7,8221.9×22026-04-01
Riddle Memorial Hospital Media$8,1511.9×22026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$8,9222.2×62026-09-15
Jefferson Health-Northeast Philadelphia$9,0762.1×62026-09-15
St Clair Hospital Pittsburgh$9,2392.3×72026-03-31
Lehigh Valley Hospital Allentown$12,4763.0×62026-07-01
Penn State Health Hampden Medical Center Enola$13,8133.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,9653.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$14,1813.5×12026-03-27
Thomas Jefferson University Hospital Philadelphia$14,3013.4×42026-09-15
Lehigh Valley Hospital - Dickson City Dickson City$14,6143.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$16,5804.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$16,6944.2×82026-07-01
Penn State Health St. Joseph Reading$18,2794.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$19,0144.5×82026-07-01

Questions

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

35 Pennsylvania hospitals post usable commercial rates for vitrectomy (retina surgery) in their federal price-transparency files. For CPT 67036, hospital outpatient, the median across 34 hospitals is $7,744, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.