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Procedure price report · Other intraocular therapeutic procedures

Vitrectomy with removal of tissue under the retina

CPT 67043the billing code this page is about

Surgical removal of the gel inside the eye, with removal of abnormal membrane or tissue lying beneath the retina.

Hospitals typically charge $4,524 cash for this outpatient procedure — the median across 260 hospitals that filed a usable cash price; the average of the middle 60% is $4,263. Most fall between $1,955 and $6,231 (20th–80th percentile).

Hospitals
260
States
40
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 260 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
$1,399$2,166$4,524$6,000$10,329

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($1,399 vs $10,329).

How the prices are spread

$1,096 – $1,384: 6 hospitals$1,096$1,384 – $1,748: 26 hospitals$1,748 – $2,207: 23 hospitals$1,748$2,207 – $2,786: 13 hospitals$2,786 – $3,518: 27 hospitals$2,786$3,518 – $4,442: 17 hospitals$4,442 – $5,608: 48 hospitals$4,442$5,608 – $7,081: 47 hospitals$7,081 – $8,941: 10 hospitals$7,081$8,941 – $11,290: 25 hospitals$8,941median $4,524price bands are equal on a log scale
Hospitals per price band (242 of 260 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,096$1,3846
$1,384$1,74826
$1,748$2,20723
$2,207$2,78613
$2,786$3,51827
$3,518$4,44217
$4,442$5,60848
$5,608$7,08147
$7,081$8,94110
$8,941$11,29025

Against Medicare

Medicare pays (OPPS 2026, national rate)$4,223
Median cash price$4,524
Cash as a multiple of Medicare1.07×

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 $4,524.

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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,979 across 11 hospitalsIL$2,979Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,399 across 18 hospitalsMI$1,399New York: median $4,760 across 24 hospitalsNY$4,760Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 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 $3,021 across 14 hospitalsIA$3,021Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $794 across 13 hospitalsPA$794New Jersey: median $4,627 across 22 hospitalsNJ$4,627Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,290 across 35 hospitalsCA$11,290Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $1,955 across 12 hospitalsOK$1,955Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,231 across 20 hospitalsTX$6,231Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,524. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$11,290+150%$5,954 – $11,290
Texas TX20$6,231+38%$5,561 – $6,828
New York NY24$4,760+5%$3,385 – $4,906
New Jersey NJ22$4,627+2%$4,397 – $5,419
Iowa IA14$3,021−33%$3,021 – $3,060
Illinois IL11$2,979−34%$1,734 – $3,727
Oklahoma OK12$1,955−57%$1,955 – $1,955
Michigan MI18$1,399−69%$1,399 – $5,684
Pennsylvania PA13$794−82%$728 – $4,717
Wisconsin WI8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Mississippi MS1not 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 $4,524.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care232$4,551$1,955 – $6,311
Children’s5fewer than 20 hospitals
Critical access23$5,243$1,734 – $6,828
Ownership
For-profit25$4,767$1,734 – $8,125
Government30$4,387$2,832 – $5,221
Non-profit205$4,524$1,955 – $6,231
System affiliation
Part of a system227$4,643$1,955 – $6,828
Independent33$4,262$2,357 – $5,963

Cash price vs list price

Median list price (chargemaster)$5,485
Median cash price$4,524
Cash as a share of list, median hospital58%

At the typical hospital, asking for the cash price cuts the list price by about 42%. 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

153 hospitals filed a usable inpatient cash price for this code. The median is $3,252 and the average of the middle 60% is $4,026; most fall between $1,754 and $6,828.

Cash price percentiles, inpatient, across 153 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
$1,356$1,955$3,252$6,231$11,290

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($1,356 vs $11,290).

Of the 161 hospitals that filed this code inpatient, 153 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

260 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 277 hospitals that filed this code at all gave us
Usable cash price — counted260
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded2
Hospitals that filed this code277

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Subretinal Membrane.

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 tissue under the retina (CPT 67043) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-67043-vitrectomy-with-removal-of-tissue-under-the-retina