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Vitrectomy (retina surgery) in Pennsylvania: what insurers pay

Posted commercial rates at 4 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
Bryn Mawr Hospital Bryn Mawr$6,8601.6×22026-04-01
Riddle Memorial Hospital Media$7,2731.7×22026-04-01
Thomas Jefferson University Hospital Philadelphia$11,1002.6×32026-09-15
Lehigh Valley Hospital Allentown$12,4763.0×62026-07-01

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$7,7381.8×22026-04-01
Riddle Memorial Hospital Media$8,1511.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$11,3342.7×32026-09-15
Lehigh Valley Hospital Allentown$12,4763.0×62026-07-01

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$7,7381.8×22026-04-01
Riddle Memorial Hospital Media$8,1511.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$11,3342.7×32026-09-15
Lehigh Valley Hospital Allentown$12,4763.0×62026-07-01

Questions

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

4 Pennsylvania hospitals post usable commercial rates for vitrectomy (retina surgery) in their federal price-transparency files. For CPT 67036, hospital outpatient, the median across 4 hospitals is $9,187, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.