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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in PA

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Hospitals
14
Min
$3,314.55
Median
$4,779.03
Max
$9,721.50
Range multiplier
2.9×

By payer (27 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna522$225.17$5,992.00$10,51046.7×
Blue Cross Blue Shield322$2,189.72$5,181.21$13,8886.3×
Cigna48$4,561.80$8,410.96$18,6684.1×
keystone first36$2,165.04$2,634.16$4,561.802.1×
health partners plans26$1,670.00$1,670.00$4,431.462.7×
upmc health plan36$3,197.11$4,440.59$6,736.742.1×
ibc25$7,207.92$8,024.22$11,3341.6×
UnitedHealthcare35$4,300.00$4,344.57$6,368.001.5×
Medicaid25$165.87$1,036.66$1,879.0911.3×
geisinger24$4,779.03$7,567.14$10,3552.2×
elder health22$5,213.48$5,213.48$5,213.481.0×
Humana22$4,344.57$4,344.57$4,344.571.0×
innovage22$4,431.46$4,431.46$4,431.461.0×
jup pa health_wellness12$196.03$710.59$1,225.156.2×
pennsylvania health and wellness22$4,779.03$4,779.03$4,779.031.0×
prime health services22$6,915.69$6,915.69$6,915.691.0×
upmc commercial22$13,309$15,989$18,6681.4×
clover health22$4,605.24$4,605.24$4,605.241.0×
gateway health plan22$5,430.71$5,430.71$5,430.711.0×
naphcare22$6,516.85$6,516.85$6,516.851.0×
occunet22$7,168.54$7,168.54$7,168.541.0×
Oscar Health22$6,516.85$6,516.85$6,516.851.0×
amerihealth caritas11$4,142.13$4,142.13$4,142.131.0×
pa health_wellness chc11$1,008.80$1,008.80$1,008.801.0×
upmc work partners11$2,098.00$2,098.00$2,098.001.0×
wtc health program11$5,430.71$5,430.71$5,430.711.0×
pa health & wellness11$4,142.13$4,142.13$4,142.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA7$1,008.80$9,721.50$18,668
Temple University HospitalPhiladelphiaPA19$1,670.00$4,779.03$13,888
Jeanes HospitalPhiladelphiaPA18$1,670.00$4,779.03$13,843
Upmc Mercy HospitalPittsburghPA6$2,098.00$4,142.13$13,564
Aria HealthPhiladelphiaPA7$165.87$3,314.55$13,309
Physicians Care Surgical HospitalRoyersfordPA0$18,680$10,218
Wills Eye HospitalPhiladelphiaPA0$16,721
Hampden Medical CenterEnolaPA0$26,149$8,229.09
Holy Spirit HospitalCamp HillPA0$26,149$6,247.00
Penn State Hershey Rehabilitation LlHummelstownPA0$26,149$6,801.35
Clarion HospitalClarionPA0
St. Joseph Medical CenterReadingPA0$26,149$6,801.35
Butler Memorial HospitalButlerPA0
Milton S. Hershey Medical CenterHersheyPA0$26,149$8,663.16

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.