Vitrectomy (eye) Cost by Hospital

Vitrectomy (eye) is a surgical procedure. Prices are from 1145 US hospitals across 51 states, from their machine-readable files.

$4,822median cash price · 1145 hospitals, 51 statestypically $1,399–$14,440 depending on the hospital
≈ 5.9× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$9,220
Cash / self-pay
$4,822
Insurer-negotiated
$4,323
Medicare pays
$814
$1,399$14,440
Median cash $4,822  ·  Medicare $814  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $4,822 — about 5.9× 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 $9,220 list price could save about $4,398 (48%).

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
Braxton County Memorial Hospital, Inc Gassaway, WV $835 — — 102 min —
Potomac Valley Hospital Keyser, WV $835 — ★ 1/5 119 min —
Jefferson Medical Center Ranson, WV $835 — ★ 1/5 173 min —
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $835 — ★ 3/5 141 min —
Doctor's Center De San Juan Santurce, PR $875 $2,534 — — —
Jackson General Hospital Ripley, WV $892 — ★ 3/5 127 min —
Summersville Regional Medical Center Summersville, WV $892 — ★ 2/5 136 min —
Harrison Community Hospital Cadiz, OH $913 — — 82 min —
Barnesville Hospital Association, Inc Barnesville, OH $913 $4,513 — 115 min —
O'connor Hospital Delhi, NY $1,034 $1,414 — 95 min —
Little Falls Hospital Little Falls, NY $1,034 $1,174 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $1,034 $1,357 ★ 4/5 111 min —
Duke University Hospital Durham, NC $1,035 $1,917 ★ 5/5 317 min —
Duke Regional Hospital Durham, NC $1,035 $1,917 ★ 5/5 255 min —
Bayside Community Hospital Anahuac, TX $1,270 $666 — 106 min —
Grant Memorial Hospital Petersburg, WV $1,335 — ★ 3/5 110 min —
McLaren Bay Region Bay City, MI $1,399 $844 ★ 1/5 169 min —
McLaren Northern Michigan Petoskey, MI $1,399 $844 ★ 3/5 157 min —
McLaren Flint Flint, MI $1,399 $844 ★ 2/5 178 min —
McLaren Lapeer Region Lapeer, MI $1,399 $844 ★ 2/5 186 min —
McLaren Oakland Pontiac, MI $1,399 $844 ★ 2/5 103 min —
McLaren Port Huron Port Huron, MI $1,399 $844 ★ 2/5 231 min —
McLaren Macomb Mount Clemens, MI $1,399 $844 ★ 1/5 172 min —
McLaren Caro Region Caro, MI $1,399 $844 — 72 min —
McLaren Thumb Region Bad Axe, MI $1,399 $844 ★ 5/5 119 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 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: $4,822; Medicare pays $814.

InsurerHospitalsNegotiated median
Univera 11
$732
$121 – $1,345
Medicaid 95
$768
$444 – $3,304
Independent Health 12
$1,020
$444 – $1,178
Geisinger 28
$1,242
$192 – $4,320
AmeriHealth 113
$1,252
$176 – $13,315
Amerigroup 109
$1,610
$781 – $4,044
Molina Healthcare 329
$1,718
$796 – $5,711
Priority Health 26
$1,788
$686 – $5,197
Sanford Health Plan 22
$2,136
$834 – $7,124
UCare 30
$2,674
$724 – $7,006
Workers' Comp / No-Fault 28
$3,224
$2,750 – $6,256
Medica 45
$3,395
$886 – $6,209
Tricare / VA 118
$3,509
$854 – $5,837
Centene / Ambetter 431
$3,579
$1,026 – $10,737
Harvard Pilgrim 12
$3,616
$1,180 – $12,354
Bright Health 35
$3,723
$1,471 – $6,549
HealthPartners 70
$3,772
$881 – $7,243
Medicare 180
$3,930
$854 – $5,676
Highmark 59
$3,979
$1,184 – $9,009
Security Health Plan 21
$4,010
$834 – $12,277
UPMC Health Plan 45
$4,026
$919 – $11,090
Devoted Health 99
$4,027
$1,173 – $4,586
Coventry 30
$4,029
$1,782 – $9,823
Humana 534
$4,796
$1,057 – $19,994
SelectHealth 31
$4,882
$2,203 – $7,177
Kaiser Permanente 108
$4,888
$1,500 – $15,223
Aetna 680
$5,007
$1,370 – $13,140
MVP Health Care 30
$5,124
$1,102 – $11,310
UnitedHealthcare 743
$5,160
$975 – $13,856
MultiPlan / PHCS network 151
$5,220
$1,510 – $9,683
Health Net 74
$5,423
$1,345 – $14,770
Blue Cross Blue Shield 606
$5,449
$1,070 – $13,606
Anthem 291
$5,604
$1,319 – $10,720
EmblemHealth 45
$6,192
$3,110 – $32,609
Healthcare Highways 32
$7,300
$6,326 – $8,569
Cigna 521
$8,115
$2,963 – $19,594
Oscar Health 131
$8,473
$3,549 – $14,192
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
Puerto Rico$1,578
Kentucky$1,629

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 1145 US hospitals across 51 states, the typical (median) cash price is $4,822, versus a chargemaster (list) price around $9,220, a median insurer-negotiated rate of $4,323, 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 1145 US hospitals is $4,822. 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.

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