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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in NY

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Hospitals
7
Min
$1,505.12
Median
$5,127
Max
$9,363.5
Range multiplier
6.2×

By payer (29 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield332$1,422.85$4,593.88$14,29810.0×
univera120$92.36$692.67$1,544.0316.7×
UnitedHealthcare517$218.65$4,760.49$12,10355.4×
amerihealth112$158.33$1,134.97$4,998.5231.6×
Aetna410$1,502.79$4,855.7$9,195.56.1×
geisinger16$218.65$1,241.6$1,366.516.2×
Medicare26$4,179.34$5,159.69$5,675.651.4×
Empire BCBS25$7,474$8,774$9,9471.3×
fidelis care15$1,269.1$1,396.01$5,093.734.0×
Humana34$1,854.81$4,903.31$5,159.692.8×
pennsylvania health and wellness13$199.04$1,164$1,243.996.2×
Cigna33$1,785.9$12,063$13,6567.6×
centers plan for healthy living12$1,269.1$3,014.8$4,760.493.8×
mvp 290012$9,297.75$10,304$11,3101.2×
emblemhealth12$2,220.93$3,371.7$4,522.472.0×
Molina22$1,078.74$3,133.84$5,188.944.8×
Anthem BCBS12$1,078.74$1,078.74$1,078.741.0×
[oxford]12$9,526$10,499$11,4721.2×
Medicare Advantage11$4,498.74$4,498.74$4,498.741.0×
american health plans11$4,760.49$4,760.49$4,760.491.0×
life pittsburgh11$4,760.49$4,760.49$4,760.491.0×
elderplan 131611$5,159.69$5,159.69$5,159.691.0×
emblemhealth-commercial hmo/pos11$6,017.59$6,017.59$6,017.591.0×
emblemhealth-commercial other11$4,588.71$4,588.71$4,588.711.0×
1199seiu national benefit funds11$2,808$2,808$2,8081.0×
jefferson health plans11$1,187.28$1,187.28$1,187.281.0×
derived contracted rate11$5,900.24$5,900.24$5,900.241.0×
martin's point11$4,760.49$4,760.49$4,760.491.0×
Medicaid11$3,109.63$3,109.63$3,109.631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY5$7,844$9,363.5$13,656
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY8$4,179.34$5,159.69$14,298
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY7$11,720$11,720$3,109.63$5,127$8,774
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY10$4,285$2,999.5$1,078.74$2,646.71$5,093.73
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$3,135$689.7$92.36$1,505.12$9,140.14
EASTERN LONG ISLAND HOSPITALGREENPORTNY0
NYU LANGONE HOSPITALSNEW YORKNY0

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.