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Procedure price report · Other intraocular therapeutic procedures

Vitrectomy with removal of the retina's inner lining

CPT 67042the billing code this page is about

Surgical removal of the gel inside the eye, with peeling of the thin inner layer covering the retina, often done for a hole in the central retina.

Hospitals typically charge $4,958 cash for this outpatient procedure — the median across 369 hospitals that filed a usable cash price; the average of the middle 60% is $5,371. Most fall between $2,401 and $9,188 (20th–80th percentile).

Hospitals
369
States
45
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 369 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,547$2,861$4,958$7,581$13,775

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,547 vs $13,775).

How the prices are spread

$1,399 – $1,781: 33 hospitals$1,399$1,781 – $2,268: 19 hospitals$2,268 – $2,888: 30 hospitals$2,268$2,888 – $3,677: 24 hospitals$3,677 – $4,682: 35 hospitals$3,677$4,682 – $5,962: 54 hospitals$5,962 – $7,592: 64 hospitals$5,962$7,592 – $9,667: 25 hospitals$9,667 – $12,310: 21 hospitals$9,667$12,310 – $15,674: 32 hospitals$12,310median $4,958price bands are equal on a log scale
Hospitals per price band (337 of 369 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,399$1,78133
$1,781$2,26819
$2,268$2,88830
$2,888$3,67724
$3,677$4,68235
$4,682$5,96254
$5,962$7,59264
$7,592$9,66725
$9,667$12,31021
$12,310$15,67432

Against Medicare

Medicare pays (OPPS 2026, national rate)$4,223
Median cash price$4,958
Cash as a multiple of Medicare1.17×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,958.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $3,473 across 15 hospitalsIL$3,473Wisconsin: median $7,412 across 25 hospitalsWI$7,412Michigan: median $1,484 across 23 hospitalsMI$1,484New York: median $4,906 across 43 hospitalsNY$4,906Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,861 across 15 hospitalsIA$2,861Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,564 across 10 hospitalsOH$4,564Pennsylvania: median $846 across 18 hospitalsPA$846New Jersey: median $4,881 across 29 hospitalsNJ$4,881Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $15,674 across 39 hospitalsCA$15,674Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,853 across 12 hospitalsOK$1,853Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,816 across 21 hospitalsTX$5,816Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,958. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA39$15,674+216%$6,656 – $15,674
Wisconsin WI25$7,412+50%$6,868 – $13,322
Texas TX21$5,816+17%$5,816 – $6,878
New York NY43$4,906−1%$3,473 – $9,188
New Jersey NJ29$4,881−2%$4,453 – $6,495
Ohio OH10$4,564−8%$2,236 – $9,139
Illinois IL15$3,473−30%$1,547 – $4,733
Iowa IA15$2,861−42%$2,861 – $2,920
Oklahoma OK12$1,853−63%$1,853 – $1,853
Michigan MI23$1,484−70%$1,399 – $7,412
Pennsylvania PA18$846−83%$690 – $6,801
Louisiana LA8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,958.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care321$4,881$2,478 – $9,188
Children’s6fewer than 20 hospitals
Critical access41$6,868$1,757 – $7,899
Ownership
For-profit36$4,984$1,676 – $10,329
Government38$4,760$2,919 – $9,587
Non-profit294$5,348$2,293 – $9,188
System affiliation
Part of a system318$5,110$2,293 – $9,188
Independent51$4,793$2,495 – $9,587

Cash price vs list price

Median list price (chargemaster)$8,768
Median cash price$4,958
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

194 hospitals filed a usable inpatient cash price for this code. The median is $4,688 and the average of the middle 60% is $4,782; most fall between $1,853 and $8,229.

Cash price percentiles, inpatient, across 194 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,547$2,053$4,688$7,412$15,674

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,547 vs $15,674).

Of the 203 hospitals that filed this code inpatient, 194 gave a usable cash price; 5 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

369 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 390 hospitals that filed this code at all gave us
Usable cash price — counted369
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded4
Hospitals that filed this code390

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other intraocular therapeutic procedures family.

Hospitals file this code under descriptions such as Vitrectomy Pars Plana Remove Int Memb Retina.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Vitrectomy with removal of the retina's inner lining (CPT 67042) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-67042-vitrectomy-with-removal-of-the-retina-s-inner-lining