Vitrectomy (eye) is a surgical procedure. Prices are from 1128 US hospitals across 51 states, from their machine-readable files.
Price comparison (median)
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%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| 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.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Univera | 11 |
$121 – $1,345 |
| Medicaid | 93 |
$444 – $3,304 |
| Independent Health | 12 |
$444 – $1,178 |
| Geisinger | 26 |
$194 – $4,204 |
| AmeriHealth | 110 |
$176 – $13,315 |
| Amerigroup | 108 |
$781 – $4,029 |
| Molina Healthcare | 327 |
$797 – $5,946 |
| Priority Health | 27 |
$700 – $5,160 |
| Sanford Health Plan | 22 |
$834 – $7,124 |
| UCare | 30 |
$724 – $7,006 |
| Tricare / VA | 116 |
$854 – $5,837 |
| Workers' Comp / No-Fault | 28 |
$2,750 – $6,256 |
| Centene / Ambetter | 415 |
$996 – $10,737 |
| Medica | 45 |
$886 – $6,209 |
| Harvard Pilgrim | 12 |
$1,180 – $12,354 |
| Bright Health | 35 |
$1,471 – $6,549 |
| HealthPartners | 68 |
$884 – $7,243 |
| Medicare | 177 |
$854 – $5,687 |
| Highmark | 52 |
$1,184 – $9,009 |
| Security Health Plan | 21 |
$834 – $12,277 |
| Devoted Health | 95 |
$1,014 – $4,607 |
| UPMC Health Plan | 41 |
$919 – $11,090 |
| Coventry | 28 |
$1,370 – $9,823 |
| Humana | 526 |
$1,068 – $19,994 |
| SelectHealth | 31 |
$2,203 – $7,177 |
| Kaiser Permanente | 108 |
$1,500 – $15,223 |
| MultiPlan / PHCS network | 139 |
$1,510 – $9,331 |
| Aetna | 661 |
$1,526 – $13,140 |
| MVP Health Care | 30 |
$1,102 – $11,300 |
| Health Net | 72 |
$1,345 – $14,770 |
| UnitedHealthcare | 723 |
$975 – $14,122 |
| Blue Cross Blue Shield | 602 |
$1,070 – $13,523 |
| Anthem | 276 |
$1,161 – $11,066 |
| Healthcare Highways | 32 |
$6,326 – $8,569 |
| Cigna | 499 |
$3,056 – $19,594 |
| Oscar Health | 119 |
$3,549 – $14,192 |
| EmblemHealth | 31 |
$3,304 – $32,609 |
| AvMed | 31 |
$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
| State | Median 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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Stephen Wong, M.D. | Ophthalmology | Sacramento, CA | 124 |
| Lowrey King, M.D. | Ophthalmology | Charleston, SC | 117 |
| Thomas Shane, M.D. | Ophthalmology | Sarasota, FL | 108 |
| Suhail Alam, M.D. | Ophthalmology | Phoenix, AZ | 104 |
| Mark Gorovoy, M.D. | Ophthalmology | Fort Myers, FL | 80 |
| Kyle Thompson, M.D. | Ophthalmology | Idaho Falls, ID | 77 |
| Ashkan Abbey, M.D. | Ophthalmology | Dallas, TX | 77 |
| Jaime Jimenez Agosto, M.D. | Ophthalmology | Hattiesburg, MS | 75 |
| Murtaza Adam, MD | Ophthalmology | Parker, CO | 73 |
| Robert Reinauer, M.D. | Ophthalmology | Dallas, TX | 66 |
| Salman Porbandarwalla, M.D., M.S. | Ophthalmology | Lancaster, PA | 64 |
| Lori Coors, M.D. | Ophthalmology | Dallas, TX | 62 |
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?
Does Medicare cover Vitrectomy (eye)?
What does Medicare pay for Vitrectomy (eye)?
Why do Vitrectomy (eye) prices vary between hospitals?
Is the cash price lower than using insurance?
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