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
PR Vitrectomy Mech Pars Plana Appr W Removal Preretinal Cellular Membrane
Troy, NY
See all hospitals reporting CPT 67041 →Price type
Samaritan Hospital’s median price of $8.2k is 76% above the median hospital's median price ($4.7k), higher than 83% of the 1,545 hospitals reporting CPT 67041. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem empire medicaid facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Excellus empire medicaid facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 5 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 6 | Highmark blue shield of ne new york ascend facility · other · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 7 | Anthem empire bcbs medicare advantage facility · other · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 9 | Aetna aetna medicare advantage facility · other · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | WellCare wellcare medicare advantage facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 11 | Excellus blue shield of ne new york medicare adv facility · other · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 12 | Highmark blue shield of ne new york medicare adv facility · other · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 13 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 14 | Carefirst blue shield of ne new york hmo facility · other · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 15 | Highmark blue shield of ne new york hmo facility · other · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 16 | Wellmark blue shield of ne new york hmo facility · other · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 17 | Blue Cross Blue Shield blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 18 | Carefirst blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 19 | Excellus blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 20 | Highmark blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 21 | Premera blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 22 | Regence blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 23 | Wellmark blue shield of ne new york ppo facility · other · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 24 | WellCare wellcare ep 1&2 medicaid facility · other · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 25 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
Last updated: Mar 31, 2026
See Eye surgery to remove membrane from retina pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.