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Vitrectomy (retina surgery) in Washington: what insurers pay

Posted commercial rates at 6 Washington 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
Overlake Hospital Medical Center Bellevue$10,9532.3×52026-04-01
St Clare Hospital Lakewood$12,5642.6×62026-02-28
St Anthony Hospital Gig Harbor$12,7862.6×62026-02-28
Swedish Medical Center Seattle$14,5273.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$15,1903.1×72026-08-27
Multicare Good Samaritan Hospital Puyallup$16,8453.5×62026-08-27

CPT 67042

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$10,9532.3×52026-04-01
St Clare Hospital Lakewood$14,3763.0×62026-02-28
St Anthony Hospital Gig Harbor$14,3763.0×62026-02-28
Swedish Medical Center Seattle$14,5273.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$15,1903.1×72026-08-27
Multicare Good Samaritan Hospital Puyallup$16,8453.5×62026-08-27

CPT 67041

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$10,9532.3×52026-04-01
St Clare Hospital Lakewood$14,3763.0×62026-02-28
St Anthony Hospital Gig Harbor$14,3763.0×62026-02-28
Swedish Medical Center Seattle$14,5273.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$15,1903.1×72026-08-27
Multicare Good Samaritan Hospital Puyallup$16,8453.5×62026-08-27

Questions

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

6 Washington hospitals post usable commercial rates for vitrectomy (retina surgery) in their federal price-transparency files. For CPT 67036, hospital outpatient, the median across 6 hospitals is $13,657, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.