Vitrectomy (eye) Cost by Hospital

Vitrectomy (eye) is a surgical procedure. Prices are from 1128 US hospitals across 51 states, from their machine-readable files.

$4,902median cash price · 1128 hospitals, 51 statestypically $1,399–$14,440 depending on the hospital
≈ 6.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$8,707
Cash / self-pay
$4,902
Insurer-negotiated
$4,360
Medicare pays
$814
$1,399$14,440
Median cash $4,902  ·  Medicare $814  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $4,902 — about 6.0× the Medicare rate ($814). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,629).

💡 Asking for the cash price instead of the $8,707 list price could save about $3,805 (44%).

Estimate what you’ll pay
Quick fill:

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
Braxton County Memorial Hospital, Inc Gassaway, WV $835 102 min 15.0%
Potomac Valley Hospital Keyser, WV $835 ★ 1/5 118 min 15.5%
Jefferson Medical Center Ranson, WV $835 ★ 1/5 161 min 14.5%
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $835 ★ 3/5 142 min 16.4%
Jackson General Hospital Ripley, WV $892 ★ 3/5 133 min 14.8%
Summersville Regional Medical Center Summersville, WV $892 ★ 2/5 140 min 15.1%
Harrison Community Hospital Cadiz, OH $913 84 min 15.2%
Barnesville Hospital Association, Inc Barnesville, OH $913 $4,513 113 min 15.0%
O'connor Hospital Delhi, NY $1,034 $1,414 88 min 14.7%
Little Falls Hospital Little Falls, NY $1,034 $1,174 ★ 2/5 110 min 15.7%
Cobleskill Regional Hospital Cobleskill, NY $1,034 $1,357 ★ 4/5 109 min 14.6%
Duke University Hospital Durham, NC $1,035 $1,917 ★ 5/5 296 min 14.9%
Duke Regional Hospital Durham, NC $1,035 $1,917 ★ 5/5 244 min 14.1%
Grant Memorial Hospital Petersburg, WV $1,335 ★ 3/5 105 min 15.4%
McLaren Bay Region Bay City, MI $1,399 $844 ★ 1/5 170 min 16.3%
McLaren Northern Michigan Petoskey, MI $1,399 $844 ★ 3/5 150 min 14.8%
McLaren Flint Flint, MI $1,399 $844 ★ 2/5 186 min 16.0%
McLaren Lapeer Region Lapeer, MI $1,399 $844 ★ 2/5 186 min 14.6%
McLaren Oakland Pontiac, MI $1,399 $844 ★ 2/5 106 min 15.2%
McLaren Port Huron Port Huron, MI $1,399 $844 ★ 2/5 238 min 15.2%
McLaren Macomb Mount Clemens, MI $1,399 $844 ★ 1/5 168 min 15.2%
McLaren Caro Region Caro, MI $1,399 $844 70 min
McLaren Thumb Region Bad Axe, MI $1,399 $844 ★ 5/5 118 min 14.2%
Flushing Hospital Medical Center Flushing, NY $1,467 $5,134 ★ 2/5 217 min 15.6%
Contra Costa Regional Medical Center Martinez, CA $1,469 ★ 4/5 175 min 14.2%

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 July 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 Vitrectomy (eye)

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: $4,902; Medicare pays $814.

InsurerHospitalsNegotiated median
Univera 11
$732
$121 – $1,345
Medicaid 93
$768
$444 – $3,304
Independent Health 12
$1,020
$444 – $1,178
Geisinger 26
$1,242
$194 – $4,204
AmeriHealth 110
$1,252
$176 – $13,315
Amerigroup 108
$1,610
$781 – $4,029
Molina Healthcare 327
$1,718
$797 – $5,946
Priority Health 27
$1,788
$700 – $5,160
Sanford Health Plan 22
$2,136
$834 – $7,124
UCare 30
$2,674
$724 – $7,006
Tricare / VA 116
$3,110
$854 – $5,837
Workers' Comp / No-Fault 28
$3,224
$2,750 – $6,256
Centene / Ambetter 415
$3,335
$996 – $10,737
Medica 45
$3,395
$886 – $6,209
Harvard Pilgrim 12
$3,616
$1,180 – $12,354
Bright Health 35
$3,723
$1,471 – $6,549
HealthPartners 68
$3,799
$884 – $7,243
Medicare 177
$3,923
$854 – $5,687
Highmark 52
$3,979
$1,184 – $9,009
Security Health Plan 21
$4,010
$834 – $12,277
Devoted Health 95
$4,023
$1,014 – $4,607
UPMC Health Plan 41
$4,026
$919 – $11,090
Coventry 28
$4,029
$1,370 – $9,823
Humana 526
$4,856
$1,068 – $19,994
SelectHealth 31
$4,882
$2,203 – $7,177
Kaiser Permanente 108
$4,888
$1,500 – $15,223
MultiPlan / PHCS network 139
$5,020
$1,510 – $9,331
Aetna 661
$5,050
$1,526 – $13,140
MVP Health Care 30
$5,124
$1,102 – $11,300
Health Net 72
$5,290
$1,345 – $14,770
UnitedHealthcare 723
$5,348
$975 – $14,122
Blue Cross Blue Shield 602
$5,384
$1,070 – $13,523
Anthem 276
$6,169
$1,161 – $11,066
Healthcare Highways 32
$7,300
$6,326 – $8,569
Cigna 499
$8,139
$3,056 – $19,594
Oscar Health 119
$8,473
$3,549 – $14,192
EmblemHealth 31
$11,609
$3,304 – $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$504
West Virginia$892
Michigan$1,399
Massachusetts$1,511
Kentucky$1,629
North Dakota$1,706

Prices by city

Prices by state

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.

Does Medicare cover Vitrectomy (eye)?

Yes — Medicare generally covers Vitrectomy (eye). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $814. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $163 — 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 1128 US hospitals across 51 states, the typical (median) cash price is $4,902, versus a chargemaster (list) price around $8,707, a median insurer-negotiated rate of $4,360, a Medicare rate of about $814. Most cash prices fall between $1,399 and $14,440 — 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 Vitrectomy (eye) cost without insurance?
The median cash (self-pay) price across 1128 US hospitals is $4,902. Most hospitals fall between $1,399 and $14,440. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Vitrectomy (eye)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $814). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Vitrectomy (eye)?
Medicare pays about $814. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Vitrectomy (eye) 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.

Related Surgery & Procedures

See more Surgery & Procedures.