▸ Compare · PriceTransparency
Vitrectomy mechanical
CPT 67042 · negotiated-rate distribution across hospitals in TX
Hospitals
35
Min
$1,127.36
Median
$3,998.74
Max
$6,615
Range multiplier
5.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 29 | 172 | $55 | $5,199.48 | $12,906 | 234.7× |
| UnitedHealthcare | 26 | 87 | $344.97 | $4,001.13 | $11,958 | 34.7× |
| Aetna | 22 | 46 | $962.46 | $2,794.49 | $15,605 | 16.2× |
| Humana | 25 | 41 | $962.46 | $3,718.4 | $14,887 | 15.5× |
| Medicaid | 18 | 39 | $962.46 | $1,105.89 | $1,881.01 | 2.0× |
| Medicare | 11 | 36 | $2,002.17 | $4,019.54 | $4,707.22 | 2.4× |
| Cigna | 14 | 28 | $1,049.17 | $7,043 | $11,814 | 11.3× |
| Anthem BCBS | 2 | 24 | $1,085.3 | $1,559.34 | $2,002.17 | 1.8× |
| baylor scott & white health plan | 5 | 20 | $3,454.98 | $4,544.67 | $6,222.03 | 1.8× |
| Ambetter | 11 | 11 | $2,002.17 | $7,697.09 | $8,121.38 | 4.1× |
| superior health plan | 6 | 10 | $1,533.49 | $1,571.83 | $3,904.32 | 2.5× |
| wellpoint | 4 | 8 | $1,671.5 | $3,385.49 | $5,099.47 | 3.1× |
| commercial | entrust | all plans | 8 | 8 | $7,792.22 | $9,254.75 | $10,310 | 1.3× |
| commercial | community health choice | exchange | 7 | 7 | $4,014.3 | $5,880.5 | $5,884.02 | 1.5× |
| Medicare Advantage | 2 | 6 | $2,002.17 | $2,002.17 | $2,002.17 | 1.0× |
| american health plan | 6 | 6 | $3,818.66 | $3,904.32 | $3,959.48 | 1.0× |
| triwest | 5 | 5 | $3,636.82 | $3,718.4 | $3,770.93 | 1.0× |
| procare advantage | 5 | 5 | $3,818.66 | $3,904.32 | $3,959.48 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $5,880.5 | $5,884.02 | $5,884.02 | 1.0× |
| commercial | kelseycare | all plans | 5 | 5 | $2,112.3 | $2,112.3 | $2,112.3 | 1.0× |
| commercial | kelseycare | exchange | 5 | 5 | $5,292.45 | $5,295.62 | $5,295.62 | 1.0× |
| commercial | nxhealth | all plans | 5 | 5 | $12,662 | $12,741 | $12,749 | 1.0× |
| commercial | renaissance | all plans | 5 | 5 | $2,822.64 | $2,824.33 | $2,824.33 | 1.0× |
| commercial | superior health plan | all plans | 5 | 5 | $5,880.5 | $5,884.02 | $5,884.02 | 1.0× |
| prime health services | 5 | 5 | $3,809.93 | $3,895.4 | $3,950.43 | 1.0× |
| corvel | 5 | 5 | $3,809.93 | $3,895.4 | $3,950.43 | 1.0× |
| Molina | 5 | 5 | $1,610.16 | $1,610.16 | $3,904.32 | 2.4× |
| insurance services of lubbock | 4 | 4 | $6,157.14 | $6,157.14 | $6,157.14 | 1.0× |
| pdh/texas trust | 4 | 4 | $7,554.77 | $7,554.77 | $7,554.77 | 1.0× |
| scott & white | 4 | 4 | $6,043.82 | $6,043.82 | $6,043.82 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $1,559.34 | $1,559.34 | $1,559.34 | 1.0× |
| care improvement | 4 | 4 | $3,777.39 | $3,777.39 | $3,777.39 | 1.0× |
| caprock | 4 | 4 | $9,443.46 | $9,443.46 | $9,443.46 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $1,559.34 | $1,559.34 | $1,559.34 | 1.0× |
| wellmed | 4 | 4 | $3,777.39 | $3,777.39 | $3,777.39 | 1.0× |
| kempton group | 4 | 4 | $7,554.77 | $7,554.77 | $7,554.77 | 1.0× |
| 90 degree benefits | 4 | 4 | $9,443.46 | $9,443.46 | $9,443.46 | 1.0× |
| mhs care connect | 2 | 4 | $1,085.3 | $1,085.3 | $1,085.3 | 1.0× |
| insurance management services | 4 | 4 | $6,157.14 | $6,157.14 | $6,157.14 | 1.0× |
| sedgwick | 3 | 3 | $5,437.05 | $5,561.1 | $5,637.54 | 1.0× |
| health partners open network | 2 | 3 | $2,250.25 | $2,250.25 | $6,369.79 | 2.8× |
| healthspring | 3 | 3 | $3,818.66 | $3,904.32 | $3,904.32 | 1.0× |
| injury management organization | 3 | 3 | $4,516.93 | $4,619.99 | $4,683.5 | 1.0× |
| wellpoint (fka amerigroup) | 1 | 2 | $1,533.49 | $2,681.72 | $3,829.95 | 2.5× |
| oklahoma complete health | 1 | 2 | $962.46 | $1,421.74 | $1,881.01 | 2.0× |
| encore exclusive | 2 | 2 | $1,559.34 | $1,559.34 | $1,559.34 | 1.0× |
| personalized care | 2 | 2 | $2,002.17 | $2,002.17 | $2,002.17 | 1.0× |
| corizon | 2 | 2 | $2,002.17 | $2,002.17 | $2,002.17 | 1.0× |
| commercial | ellwood | all plans | 2 | 2 | $11,688 | $11,688 | $11,688 | 1.0× |
| secure horizons-pacificare | 2 | 2 | $2,002.17 | $2,002.17 | $2,002.17 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 3 | — | — | $55 | $6,615 | $10,329 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 14 | — | — | $1,610.16 | $6,157.14 | $10,882 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 14 | — | — | $1,610.16 | $6,157.14 | $10,882 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 14 | — | — | $1,610.16 | $6,157.14 | $10,882 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 14 | — | — | $1,610.16 | $6,157.14 | $10,882 |
| SCOTT AND WHITE MEMORIAL HOSPITAL | TEMPLE | TX | 15 | — | — | $1,533.49 | $5,637.54 | $14,887 |
| HILLCREST BAPTIST MEDICAL CENTER | WACO | TX | 14 | — | — | $1,533.49 | $5,606.12 | $14,887 |
| BAYLOR SCOTT AND WHITE MC AT SUNNYVA | SUNNYVALE | TX | 2 | — | — | $3,704.25 | $5,512 | $8,020 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 2 | — | — | $3,704.25 | $5,373 | $8,020 |
| BAYLOR S&W MEDICAL CENTER - PLANO | PLANO | TX | 14 | — | — | $1,533.49 | $4,564.34 | $15,605 |
| ROUND ROCK HOSPITAL | ROUND ROCK | TX | 16 | — | — | $1,533.49 | $4,564.21 | $14,887 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 9 | — | — | $1,073.68 | $4,371.54 | $12,662 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 9 | — | — | $1,073.68 | $4,371.54 | $12,662 |
| BAYLOR UNIVERSITY MEDICAL CTR | DALLAS | TX | 16 | — | — | $1,533.49 | $4,276.16 | $15,605 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 10 | — | — | $1,121.47 | $4,014.3 | $9,251.98 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 15 | — | — | $1,121.47 | $4,001.13 | $12,749 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 13 | — | — | $1,121.47 | $4,001.13 | $9,257.52 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 14 | — | — | $1,121.47 | $3,998.74 | $12,741 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 14 | — | — | $1,121.47 | $3,998.74 | $12,741 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 14 | — | — | $1,121.47 | $3,981.52 | $9,257.52 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 8 | — | — | $1,065.4 | $3,920.33 | $6,006 |
| SCOTT & WHITE CEDAR PARK | CEDAR PARK | TX | 1 | — | — | $3,818.66 | $3,818.66 | $3,818.66 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 8 | — | — | $1,028.6 | $3,518.6 | $7,043 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 7 | — | — | $1,028.6 | $3,518.6 | $7,043 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 8 | $7,152 | $5,721.6 | $1,024.83 | $3,428.74 | $10,557 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 3 | — | — | $1,073.68 | $2,928.72 | $11,958 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 3 | — | — | $1,073.68 | $2,928.72 | $11,958 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $7,152 | $5,721.6 | $1,024.83 | $2,129.6 | $3,575.49 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 4 | — | — | $1,073.68 | $1,701.07 | $7,043 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 5 | — | — | $962.46 | $1,610.16 | $1,881.01 |
| ASCENSION SETON BASTROP | BASTROP | TX | 18 | — | — | $344.97 | $1,559.34 | $2,464.05 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 18 | — | — | $344.97 | $1,559.34 | $2,464.05 |
| PAM SQUARED AT CORPUS CHRISTI | CORPUS CHRSTI | TX | 2 | — | — | $1,533.49 | $1,533.49 | $1,533.49 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | 1 | — | — | $1,144.89 | $1,144.89 | $1,144.89 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 3 | — | — | $1,073.68 | $1,127.36 | $5,777.2 |
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.