Retinal detachment repair Cost by Hospital

Retinal detachment repair is a surgical procedure. Prices are from 1114 US hospitals across 51 states, from their machine-readable files.

$4,951median cash price · 1114 hospitals, 51 statestypically $1,399–$16,408 depending on the hospital
≈ 5.1× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$10,329
Cash / self-pay
$4,951
Insurer-negotiated
$4,353
Medicare pays
$966
$1,399$16,408
Median cash $4,951  ·  Medicare $966  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $4,951 — about 5.1× the Medicare rate ($966). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,932).

💡 Asking for the cash price instead of the $10,329 list price could save about $5,378 (52%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Allegheny Valley Hospital Natrona, PA $762 $1,380 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $762 $1,380 ★ 3/5 274 min —
Ahn Wexford Hospital Wexford, PA $826 $1,481 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $857 $1,480 ★ 3/5 208 min —
O'connor Hospital Delhi, NY $1,080 $1,751 — 95 min —
Little Falls Hospital Little Falls, NY $1,080 $1,456 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $1,080 $1,696 ★ 4/5 111 min —
University of Michigan Health-Sparrow Carson Carson City, MI $1,139 $1,434 ★ 4/5 91 min —
Edward W Sparrow Hospital Lansing, MI $1,139 $1,434 ★ 3/5 299 min —
University of Michigan Health-Sparrow Clinton Saint Johns, MI $1,139 $1,434 ★ 4/5 182 min —
University of Michigan Health-Sparrow Eaton Charlotte, MI $1,139 $1,434 ★ 1/5 168 min —
Sparrow Ionia Hospital Ionia, MI $1,139 $1,434 ★ 2/5 158 min —
McLaren Bay Region Bay City, MI $1,399 $983 ★ 1/5 169 min —
McLaren Northern Michigan Petoskey, MI $1,399 $983 ★ 3/5 157 min —
McLaren Flint Flint, MI $1,399 $983 ★ 2/5 178 min —
McLaren Greater Lansing Lansing, MI $1,399 $1,552 ★ 3/5 261 min —
McLaren Lapeer Region Lapeer, MI $1,399 $983 ★ 2/5 186 min —
McLaren Oakland Pontiac, MI $1,399 $983 ★ 2/5 103 min —
McLaren Port Huron Port Huron, MI $1,399 $983 ★ 2/5 231 min —
McLaren Macomb Mount Clemens, MI $1,399 $983 ★ 1/5 172 min —
McLaren Caro Region Caro, MI $1,399 $983 — 72 min —
McLaren Thumb Region Bad Axe, MI $1,399 $983 ★ 5/5 119 min —
Bayside Community Hospital Anahuac, TX $1,517 $856 — 106 min —
Vanderbilt Bedford Hospital Shelbyville, TN $1,542 $2,169 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,542 $2,077 ★ 3/5 168 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Retinal detachment repair

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $4,951; Medicare pays $966.

InsurerHospitalsNegotiated median
Univera 11
$918
$152 – $1,544
Medicaid 99
$961
$519 – $3,304
Independent Health 12
$1,277
$519 – $1,352
AmeriHealth 108
$1,280
$221 – $13,315
Geisinger 26
$1,380
$221 – $4,407
Amerigroup 108
$1,610
$978 – $4,050
Tricare / VA 114
$1,675
$1,018 – $5,843
Molina Healthcare 329
$1,718
$915 – $5,711
Priority Health 24
$1,938
$752 – $5,260
Centene / Ambetter 419
$3,568
$1,183 – $10,737
Highmark 57
$3,691
$1,380 – $9,009
Bright Health 35
$3,723
$1,876 – $6,549
Sanford Health Plan 22
$3,751
$1,103 – $7,124
Workers' Comp / No-Fault 29
$3,793
$2,428 – $6,256
UCare 30
$3,874
$830 – $7,120
Medica 42
$3,883
$1,056 – $6,209
UPMC Health Plan 43
$3,911
$923 – $11,090
Devoted Health 98
$3,960
$1,295 – $4,425
Harvard Pilgrim 15
$3,973
$1,355 – $11,440
Medicare 188
$3,979
$1,068 – $5,559
Security Health Plan 21
$4,025
$1,103 – $12,277
Coventry 30
$4,026
$1,926 – $9,658
HealthPartners 73
$4,066
$1,048 – $7,243
MVP Health Care 30
$4,760
$1,386 – $11,310
Humana 526
$4,955
$1,187 – $19,994
SelectHealth 28
$4,996
$2,649 – $7,343
Aetna 669
$5,050
$1,529 – $13,158
Kaiser Permanente 111
$5,107
$1,699 – $15,223
UnitedHealthcare 733
$5,269
$1,092 – $13,990
Health Net 75
$5,286
$1,466 – $14,857
Blue Cross Blue Shield 598
$5,570
$1,232 – $14,311
Anthem 287
$6,145
$1,439 – $10,720
MultiPlan / PHCS network 149
$6,520
$1,579 – $11,670
Healthcare Highways 31
$7,300
$6,326 – $8,569
Cigna 515
$8,342
$3,302 – $20,240
Oscar Health 132
$8,473
$3,549 – $14,192
EmblemHealth 46
$8,793
$2,710 – $32,609
AvMed 31
$20,942
$7,012 – $28,023

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Georgia$603
Michigan$1,399
Indiana$1,858
Kentucky$1,858
North Carolina$1,902
Massachusetts$1,954

Prices by city

Chicago, ILAustin, TXDallas, TXHouston, TXNew York, NYPhiladelphia, PABronx, NYCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CAPlano, TXSan Antonio, TXArlington, TXKansas City, MOLittle Rock, ARNashville, TNSacramento, CAAurora, COBrooklyn, NYColorado Springs, COKnoxville, TNMilwaukee, WIOmaha, NE

Prices by state

TexasCaliforniaFloridaOhioWisconsinNew YorkPennsylvaniaIllinoisMinnesotaColoradoMichiganNorth CarolinaTennesseeLouisianaNew JerseyIndianaWashingtonMaineIowaSouth CarolinaVirginiaArkansasKansasOklahomaGeorgiaNebraskaKentuckyAlabamaIdahoMissouriUtahArizonaNew HampshireConnecticutWest VirginiaMontanaMississippiMassachusettsNevadaSouth DakotaNew MexicoNorth DakotaWyoming

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Stephen Wong, M.D.OphthalmologySacramento, CA112
William Smiddy, MDOphthalmologyMiami, FL64
James Reece, MDOphthalmologySacramento, CA56
Angela Amoako, PAPhysician AssistantNew York, NY46
Inder Singal, MDOphthalmologyLouisville, KY45
Thomas Shane, M.D.OphthalmologySarasota, FL41
Shawn Agee, M.D.OphthalmologyJacksonville, FL40
Eric Thomas, M.D.OphthalmologySioux Falls, SD38
Daniel Chruscicki, M.D.OphthalmologyLincoln, NE36
Hillis Warren, M.D.OphthalmologySacramento, CA36
Prashanth Iyer, M.D.OphthalmologyNewark, NJ36
Wesley Gillette, MDOphthalmologyGermantown, TN35

Browse doctors by specialty & city →

Does Medicare cover Retinal detachment repair?

Yes — Medicare generally covers Retinal detachment repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $966. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $193 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1114 US hospitals across 51 states, the typical (median) cash price is $4,951, versus a chargemaster (list) price around $10,329, a median insurer-negotiated rate of $4,353, a Medicare rate of about $966. Most cash prices fall between $1,399 and $16,408 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Retinal detachment repair cost without insurance?
The median cash (self-pay) price across 1114 US hospitals is $4,951. Most hospitals fall between $1,399 and $16,408. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Retinal detachment repair?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $966). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Retinal detachment repair?
Medicare pays about $966. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Retinal detachment repair prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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