Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Vitrectomy Pars Plana Remove Int Memb Retina
Low
$489
Average
$5.6k
Median
$4.4k
High
$52.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1158 hospitals; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,515 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $13.4k | $13.0k | $3.7k | 28% | 300 | $5.8k – $17.3k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $17.9k | $21.3k | $11.6k | 54% | 228 | $10.9k – $40.5k |
| 3 | Wills Eye Hospital Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 92 | $4.1k – $4.1k |
| 4 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $7.4k | $7.4k | $1.5k | 20% | 36–54 | $5.9k – $8.8k |
| 5 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | 26 | $4.1k – $4.1k |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $4.2k | $3.6k | $1.2k | 34% | 20 | $839 – $4.2k |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $4.1k | $3.2k | $1.5k | 49% | 12–21 | $629 – $4.1k |
| 8 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $13.4k | $14.3k | $4.4k | 31% | 5–50 | $7.3k – $19.7k |
| 9 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $4.7k | $4.7k | — | — | 2–20 | $4.7k – $4.7k |
| 10 | MERCY HEALTH YOUNGSTOWN LLC Youngstown, OH other · outpatient | 2 | $3.9k | $3.9k | — | — | 2–20 | $3.9k – $3.9k |
| 11 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL case rate · outpatient | 1 | $7k | $7k | — | — | 2–20 | $7k – $7k |
| 12 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | $2.4k | 25% | 2–20 | $7.2k – $12.1k |
| 13 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 14 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 15 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 16 | F.F. Thompson Hospital Canandaigua, NY percent of total billed charges · outpatientfrom % of charges | 1 | $9.4k | $9.4k | — | — | 1–10 | $9.4k – $9.4k |
| 17 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $13.8k | $13.8k | $355 | 3% | 1–10 | $13.5k – $14.2k |
| 18 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 19 | Henry Ford Health System West Bloomfield, MI facility · case rate · outpatient | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 20 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.4k | $12.4k | — | — | 1–10 | $12.4k – $12.4k |
| 21 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 22 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 23 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 24 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 25 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $19.9k | $19.9k | — | — | 1–10 | $19.9k – $19.9k |
← Payers reporting CPT 67042 · Snapshot 20261111T120946Z-9134e7f7