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Vitrectomy (retina surgery) in Rhode Island: what insurers pay

Posted commercial rates at 3 Rhode Island 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
Newport Hospital Newport$8,2781.8×52026-04-01
The Miriam Hospital Providence$8,7981.9×32026-04-01
Rhode Island Hospital Providence$9,8132.1×52026-04-01

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
The Miriam Hospital Providence$8,7981.9×32026-04-01
Newport Hospital Newport$8,9451.9×52026-04-01
Rhode Island Hospital Providence$12,9892.8×52026-04-01

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
The Miriam Hospital Providence$8,7981.9×32026-04-01
Newport Hospital Newport$8,9451.9×52026-04-01
Rhode Island Hospital Providence$12,9892.8×52026-04-01

Questions

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

3 Rhode Island 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 $8,798, 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.