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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in IA

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Hospitals
17
Min
$2,129.6
Median
$3,428.74
Max
$11,210
Range multiplier
5.3×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1680$46$3,575.49$12,855279.5×
Aetna1574$1,024.83$3,067.9$10,42210.2×
Blue Cross Blue Shield1571$1,024.83$2,129.6$3,928.273.8×
Humana1527$1,024.83$1,076.07$4,043.813.9×
health partners open network1423$2,250.25$2,250.25$7,346.083.3×
Molina1121$1,045.33$3,783.26$10,0579.6×
amerivantage1121$1,024.83$1,076.07$4,2244.1×
amerigroup1415$3,334.45$3,819.44$4,116.551.2×
Cigna1515$2,751.15$2,751.15$19,0006.9×
iowa total care1313$3,334.45$3,538.37$4,002.61.2×
bc illinois community28$1,705.91$3,696.23$5,361.623.1×
medica15$75$3,920.52$8,467112.9×
health alliance24$1,024.83$2,404.05$3,783.263.7×
Ambetter24$1,024.83$3,479.68$5,934.525.8×
meridian health plan24$1,076.07$2,485.3$3,894.533.6×
wisconsin physician service13$12,200$12,842$12,8421.1×
Centene13$15$3,819.44$4,038.14269.2×
common ground13$9,176$9,176$9,1761.0×
one world12$10,506$11,294$12,0821.1×
Anthem BCBS12$9,649$11,047$12,4441.3×
dean health plan12$3,289.92$4,934.88$6,579.842.0×
greater omaha packing12$10,506$11,294$12,0821.1×
medical associates health plan12$1,895.94$3,130.02$4,364.12.3×
meridian12$1,076.07$2,771.76$4,467.444.2×
midlands choice12$75$75$751.0×
millard public schools12$10,506$11,294$12,0821.1×
great plains11$4,116.55$4,116.55$4,116.551.0×
todays options11$3,998.93$3,998.93$3,998.931.0×
trilogy11$14,038$14,038$14,0381.0×
everpointe elite11$9,501$9,501$9,5011.0×
aurora caregiver11$9,720$9,720$9,7201.0×
amps11$8,703.55$8,703.55$8,703.551.0×
elap11$28$28$281.0×
Multiplan11$85$85$851.0×
centivo11$12,020$12,020$12,0201.0×
pace11$3,920.52$3,920.52$3,920.521.0×
phcs11$75$75$751.0×
quartz group11$11,210$11,210$11,2101.0×
quartz one11$9,580$9,580$9,5801.0×
quiktrip11$60$60$601.0×
timpte11$12,082$12,082$12,0821.0×
hs technology11$11,030$11,030$11,0301.0×
iamolina11$3,894.33$3,894.33$3,894.331.0×
iowa health11$1,076.07$1,076.07$1,076.071.0×
health payment systems11$11,200$11,200$11,2001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH MERCY COUNCIL BLUFFSCOUNCIL BLUFFSIA20$15$3,920.52$12,082
IOWA LUTHERAN HOSPITALDES MOINESIA10$7,152$5,721.6$1,024.83$3,575.49$9,789.96
ST. LUKES METHODIST HOSPITALCEDAR RAPIDSIA10$7,152$5,721.6$1,024.83$3,538.37$10,016
THE FINLEY HOSPITALDUBUQUEIA14$7,152$5,721.6$1,024.83$3,537.02$9,293.69
TRINITY MUSCATINEMUSCATINEIA12$7,152$5,721.6$1,024.83$3,474.31$12,091
TRINITY BETTENDORFBETTENDORFIA11$7,152$5,721.6$1,024.83$3,461.67$10,331
TRINITY REGIONAL MEDICAL CENTERFORT DODGEIA8$7,152$5,721.6$1,024.83$3,428.74$10,557
GRUNDY COUNTY MEM. HOSPITALGRUNDY CENTERIA10$7,152$5,721.6$1,024.83$3,334.45$10,963
ALLEN MEMORIAL HOSPITALWATERLOOIA10$7,152$5,721.6$1,024.83$3,334.45$10,963
IOWA METHODIST MEDICAL CENTERDES MOINESIA10$7,152$5,721.6$1,024.83$3,321.7$10,331
GRINNELL REGIONAL MEDICAL CENTERGRINNELLIA10$7,152$5,721.6$1,024.83$2,751.15$4,002.6
COMMUNITY MEM. HOSPT. SUMMERSUMNERIA10$7,152$5,721.6$1,024.83$2,751.15$4,002.6
ST. LUKES REGL MEDICAL CENTERSIOUX CITYIA10$7,152$5,721.6$1,024.83$2,751.15$4,002.6
UNITYPOINT HEALTH-MARSHALLTOWNMARSHALLTOWNIA10$7,152$5,721.6$1,024.83$2,636.11$7,069.97
JONES REGIONAL MEDICAL CTRANAMOSAIA8$7,152$5,721.6$1,024.83$2,129.6$3,575.49
WASHINGTON COUNTY HOSPITALWASHINGTONIA15$8,466$11,210$19,000
MERCY HOSPITAL IOWA CITYIOWA CITYIA0$3,394$1,629.12

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.