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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in MN

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Hospitals
13
Min
$1,266.53
Median
$3,751.55
Max
$4,064.39
Range multiplier
3.2×

By payer (27 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica12157$840.61$3,740.39$5,6416.7×
health partners11144$782.67$4,322.29$14,12318.0×
Blue Cross Blue Shield1392$899.45$3,844.21$25,17128.0×
ucare1187$797.58$3,884.87$9,201.9511.5×
UnitedHealthcare1160$1,059.76$3,385.79$7,8727.4×
itasca medical care1144$782.66$2,405.66$4,048.275.2×
primewest1143$782.66$1,059.76$4,048.275.2×
south country health alliance936$782.66$2,405.66$4,004.335.1×
security health plan1124$1,059.76$3,899.12$8,684.258.2×
sanford health plan1124$1,059.76$3,899.12$6,820.036.4×
WellCare1122$1,059.76$2,472.32$4,048.273.8×
hennepin health919$884.41$884.41$4,051.674.6×
america's ppo16$6,032.66$6,947.4$8,336.881.4×
optum15$1,144.54$4,004.33$6,600.035.8×
Humana33$1,266.53$1,266.53$7,526.355.9×
wisconsin physician services12$10,421$10,421$10,4211.0×
First Health12$9,494.78$9,494.78$9,494.781.0×
Medicare22$1,266.53$1,266.53$1,266.531.0×
Multiplan12$9,842.15$9,842.15$9,842.151.0×
private healthcare systems12$9,842.15$9,842.15$9,842.151.0×
interlink11$8,684.25$8,684.25$8,684.251.0×
emerging therapies11$7,410.56$7,410.56$7,410.561.0×
commercial | preferred one | all other plans11$1,915.88$1,915.88$1,915.881.0×
commercial | medica | all plans11$3,043$3,043$3,0431.0×
commercial | health partners | all plans11$8,149$8,149$8,1491.0×
Cigna11$6,484.24$6,484.24$6,484.241.0×
Aetna11$7,873.72$7,873.72$7,873.721.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$11,579$4,643.18$782.66$4,064.39$14,123
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN12$782.66$3,751.55$9,201.95
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN12$782.66$3,751.55$9,053.38
FAIRVIEW SOUTHDALE HOSPITALEDINAMN12$782.66$3,751.55$9,201.95
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN12$782.66$3,751.55$9,053.38
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN12$782.66$3,751.55$9,053.38
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN12$782.66$3,751.55$9,053.38
RANGE REGIONAL HEALTH SERVICESHIBBINGMN10$782.66$3,751.55$25,171
FAIRVIEW NORTHLAND REGPRINCETONMN12$782.66$3,751.55$9,201.95
FAIRVIEW RIDGES HOSPITALBURNSVILLEMN12$782.66$3,751.55$9,053.38
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN10$782.66$3,464.2$15,403
ST. GABRIELS HOSPITALLITTLE FALLSMN6$1,266.53$2,154.77$8,149
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN4$1,266.53$1,266.53$1,915.88

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.