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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 · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Temple University Hospital median $5,731 · local Medicare $4,247 · file 2026-04-13 | |||
| Aetna | $5,100 | 1.2× | 3 |
| Cigna | $5,731 | 1.3× | 1 |
| Geisinger | $7,340 | 1.7× | 1 |
| Highmark BCBS | $13,843 | 3.3× | 1 |
| Independence Blue Cross | $13,577 | 3.2× | 3 |
| Oscar | $6,517 | 1.5× | 1 |
| Prime Health Services (rental network) | $6,916 | 1.6× | 1 |
| UPMC Health Plan | $2,580 | 0.6× | 1 |
| UnitedHealthcare | $5,356 | 1.3× | 2 |
| WTC Health Program | $5,431 | 1.3× | 1 |
| Paoli Hospital median $6,770 · local Medicare $4,026 · file 2026-04-01 | |||
| Aetna | $7,210 | 1.8× | 3 |
| Independence Blue Cross | $6,331 | 1.6× | 4 |
| Bryn Mawr Hospital median $6,860 · local Medicare $4,247 · file 2026-04-01 | |||
| Aetna | $7,210 | 1.7× | 3 |
| Independence Blue Cross | $6,509 | 1.5× | 4 |
| Jefferson Health-Northeast median $6,912 · local Medicare $4,247 · file 2026-09-15 | |||
| Aetna | $6,234 | 1.5× | 1 |
| Cigna | $7,589 | 1.8× | 2 |
| Geisinger | $16,714 | 3.9× | 1 |
| Highmark BCBS | $10,623 | 2.5× | 1 |
| Independence Blue Cross | $5,913 | 1.4× | 4 |
| UnitedHealthcare | $4,789 | 1.1× | 1 |
| Jefferson Einstein Montgomery Hospital median $6,912 · local Medicare $4,026 · file 2026-09-15 | |||
| Aetna | $6,234 | 1.5× | 1 |
| Cigna | $7,589 | 1.9× | 2 |
| Geisinger | $16,230 | 4.0× | 1 |
| Highmark BCBS | $10,315 | 2.6× | 1 |
| Independence Blue Cross | $5,576 | 1.4× | 4 |
| UnitedHealthcare | $3,386 | 0.8× | 2 |
| Lankenau Medical Center median $6,944 · local Medicare $4,026 · file 2026-04-01 | |||
| Aetna | $7,210 | 1.8× | 3 |
| Independence Blue Cross | $6,677 | 1.7× | 4 |
| Jefferson Abington Hospital median $7,208 · local Medicare $4,026 · file 2026-09-15 | |||
| Aetna | $5,181 | 1.3× | 5 |
| Cigna | $7,647 | 1.9× | 2 |
| Independence Blue Cross | $7,208 | 1.8× | 3 |
| UPMC Commercial | $9,176 | 2.3× | 1 |
| UnitedHealthcare | $4,916 | 1.2× | 1 |
| Riddle Memorial Hospital median $7,273 · local Medicare $4,247 · file 2026-04-01 | |||
| Aetna | $7,210 | 1.7× | 3 |
| Independence Blue Cross | $7,336 | 1.7× | 4 |
| Jefferson Stratford Hospital median $9,071 · local Medicare $4,650 · file 2026-09-15 | |||
| Aetna | $9,022 | 1.9× | 1 |
| Cigna | $9,071 | 2.0× | 2 |
| UnitedHealthcare | $9,751 | 2.1× | 1 |
| Thomas Jefferson University Hospital median $11,217 · local Medicare $4,247 · file 2026-09-15 | |||
| Aetna | $9,630 | 2.3× | 2 |
| Cigna | $11,100 | 2.6× | 2 |
| Independence Blue Cross | $11,334 | 2.7× | 2 |
| UPMC Commercial | $13,320 | 3.1× | 1 |
| Inspira Medical Center Mullica Hill median $13,320 · local Medicare $4,650 · file 2026-03-24 | |||
| Aetna | $13,320 | 2.9× | 1 |
CPT 67042
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Temple University Hospital median $6,254 · local Medicare $4,247 · file 2026-04-13 | |||
| Aetna | $5,992 | 1.4× | 3 |
| Cigna | $5,731 | 1.3× | 1 |
| Geisinger | $10,355 | 2.4× | 1 |
| Highmark BCBS | $13,843 | 3.3× | 1 |
| Independence Blue Cross | $13,577 | 3.2× | 3 |
| Oscar | $6,517 | 1.5× | 1 |
| Prime Health Services (rental network) | $6,916 | 1.6× | 1 |
| UnitedHealthcare | $5,356 | 1.3× | 2 |
| WTC Health Program | $5,431 | 1.3× | 1 |
| Jefferson Abington Hospital median $7,208 · local Medicare $4,026 · file 2026-09-15 | |||
| Aetna | $4,577 | 1.1× | 6 |
| Cigna | $12,311 | 3.1× | 2 |
| Independence Blue Cross | $7,208 | 1.8× | 3 |
| UPMC Commercial | $14,773 | 3.7× | 1 |
| UnitedHealthcare | $4,916 | 1.2× | 1 |
| Paoli Hospital median $7,648 · local Medicare $4,026 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.2× | 3 |
| Independence Blue Cross | $6,331 | 1.6× | 4 |
| Bryn Mawr Hospital median $7,738 · local Medicare $4,247 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.1× | 3 |
| Independence Blue Cross | $6,509 | 1.5× | 4 |
| Lankenau Medical Center median $7,822 · local Medicare $4,026 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.2× | 3 |
| Independence Blue Cross | $6,677 | 1.7× | 4 |
| Riddle Memorial Hospital median $8,151 · local Medicare $4,247 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.1× | 3 |
| Independence Blue Cross | $7,336 | 1.7× | 4 |
| Jefferson Einstein Montgomery Hospital median $8,922 · local Medicare $4,026 · file 2026-09-15 | |||
| Aetna | $7,530 | 1.9× | 1 |
| Cigna | $12,200 | 3.0× | 2 |
| Geisinger | $16,230 | 4.0× | 1 |
| Highmark BCBS | $10,315 | 2.6× | 1 |
| Independence Blue Cross | $5,576 | 1.4× | 4 |
| UnitedHealthcare | $3,386 | 0.8× | 2 |
| Jefferson Health-Northeast median $9,076 · local Medicare $4,247 · file 2026-09-15 | |||
| Aetna | $7,530 | 1.8× | 1 |
| Cigna | $12,200 | 2.9× | 2 |
| Geisinger | $16,714 | 3.9× | 1 |
| Highmark BCBS | $10,623 | 2.5× | 1 |
| Independence Blue Cross | $5,913 | 1.4× | 4 |
| UnitedHealthcare | $4,789 | 1.1× | 1 |
| Jefferson Stratford Hospital median $10,400 · local Medicare $4,650 · file 2026-09-15 | |||
| Aetna | $10,400 | 2.2× | 1 |
| Cigna | $13,606 | 2.9× | 2 |
| UnitedHealthcare | $9,751 | 2.1× | 1 |
| Inspira Medical Center Mullica Hill median $12,874 · local Medicare $4,650 · file 2026-03-24 | |||
| Aetna | $12,874 | 2.8× | 1 |
| Thomas Jefferson University Hospital median $14,301 · local Medicare $4,247 · file 2026-09-15 | |||
| Aetna | $10,110 | 2.4× | 2 |
| Cigna | $17,268 | 4.1× | 2 |
| Independence Blue Cross | $11,334 | 2.7× | 2 |
| UPMC Commercial | $20,271 | 4.8× | 1 |
CPT 67041
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Temple University Hospital median $6,254 · local Medicare $4,247 · file 2026-04-13 | |||
| Aetna | $5,992 | 1.4× | 3 |
| Cigna | $5,731 | 1.3× | 1 |
| Geisinger | $10,355 | 2.4× | 1 |
| Highmark BCBS | $13,843 | 3.3× | 1 |
| Independence Blue Cross | $13,577 | 3.2× | 3 |
| Oscar | $6,517 | 1.5× | 1 |
| Prime Health Services (rental network) | $6,916 | 1.6× | 1 |
| UnitedHealthcare | $5,356 | 1.3× | 2 |
| WTC Health Program | $5,431 | 1.3× | 1 |
| Jefferson Abington Hospital median $7,208 · local Medicare $4,026 · file 2026-09-15 | |||
| Aetna | $4,577 | 1.1× | 6 |
| Cigna | $12,311 | 3.1× | 2 |
| Independence Blue Cross | $7,208 | 1.8× | 3 |
| UPMC Commercial | $14,773 | 3.7× | 1 |
| UnitedHealthcare | $4,916 | 1.2× | 1 |
| Paoli Hospital median $7,648 · local Medicare $4,026 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.2× | 3 |
| Independence Blue Cross | $6,331 | 1.6× | 4 |
| Bryn Mawr Hospital median $7,738 · local Medicare $4,247 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.1× | 3 |
| Independence Blue Cross | $6,509 | 1.5× | 4 |
| Lankenau Medical Center median $7,822 · local Medicare $4,026 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.2× | 3 |
| Independence Blue Cross | $6,677 | 1.7× | 4 |
| Riddle Memorial Hospital median $8,151 · local Medicare $4,247 · file 2026-04-01 | |||
| Aetna | $8,966 | 2.1× | 3 |
| Independence Blue Cross | $7,336 | 1.7× | 4 |
| Jefferson Einstein Montgomery Hospital median $8,922 · local Medicare $4,026 · file 2026-09-15 | |||
| Aetna | $7,530 | 1.9× | 1 |
| Cigna | $12,200 | 3.0× | 2 |
| Geisinger | $16,230 | 4.0× | 1 |
| Highmark BCBS | $10,315 | 2.6× | 1 |
| Independence Blue Cross | $5,576 | 1.4× | 4 |
| UnitedHealthcare | $3,386 | 0.8× | 2 |
| Jefferson Health-Northeast median $9,076 · local Medicare $4,247 · file 2026-09-15 | |||
| Aetna | $7,530 | 1.8× | 1 |
| Cigna | $12,200 | 2.9× | 2 |
| Geisinger | $16,714 | 3.9× | 1 |
| Highmark BCBS | $10,623 | 2.5× | 1 |
| Independence Blue Cross | $5,913 | 1.4× | 4 |
| UnitedHealthcare | $4,789 | 1.1× | 1 |
| Jefferson Stratford Hospital median $10,400 · local Medicare $4,650 · file 2026-09-15 | |||
| Aetna | $10,400 | 2.2× | 1 |
| Cigna | $13,606 | 2.9× | 2 |
| UnitedHealthcare | $9,751 | 2.1× | 1 |
| Inspira Medical Center Mullica Hill median $12,874 · local Medicare $4,650 · file 2026-03-24 | |||
| Aetna | $12,874 | 2.8× | 1 |
| Thomas Jefferson University Hospital median $14,301 · local Medicare $4,247 · file 2026-09-15 | |||
| Aetna | $10,110 | 2.4× | 2 |
| Cigna | $17,268 | 4.1× | 2 |
| Independence Blue Cross | $11,334 | 2.7× | 2 |
| UPMC Commercial | $20,271 | 4.8× | 1 |
Questions
How much does vitrectomy (retina surgery) cost with commercial insurance in Philadelphia PA?
11 Philadelphia PA hospitals post usable commercial rates for CPT 67036, hospital outpatient. The median across hospitals is $6,944; hospital medians range from $5,731 to $13,320. Your cost depends on your plan's deductible and coinsurance.