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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$1,030.06 – $16,438

Negotiated median

$1,076.58

CPT 67042 Vitrectomy mechanical · Showing 200 of 798 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Gaston Memorial Hospital	NC	[De-identified Min]	—	outpatient	min	$4,222.95
Wrmc Hospital Operating Corporation	NC	[De-identified Min]	—	outpatient	min	$3,957.58
Atrium Health Cabarrus	NC	[De-identified Min]	—	outpatient	min	$3,902.66
Atrium Health Anson	NC	[De-identified Min]	—	outpatient	min	$3,902.66
Atrium Health Pineville	NC	[De-identified Min]	—	outpatient	min	$3,902.66
Atrium Health Stanly	NC	[De-identified Min]	—	outpatient	min	$3,902.66
Atrium Health Union	NC	[De-identified Min]	—	outpatient	min	$3,902.66
Atrium Health Cleveland	NC	[De-identified Min]	—	outpatient	min	$3,853.18
Atrium Health Kings Mountain	NC	[De-identified Min]	—	outpatient	min	$3,853.18
Columbus Regional Healthcare System	NC	[De-identified Min]	—	outpatient	min	$3,774.01
Columbus Regional Healthcare System	NC	[De-identified Min]	—	inpatient	min	$1,539.91
Carolinas Medical Center	NC	[De-identified Min]	—	outpatient	min	$1,432.11
Atrium Health Cabarrus	NC	[De-identified Min]	—	both	min	$1,030.06
Atrium Health Cleveland	NC	[De-identified Min]	—	both	min	$1,030.06
Atrium Health Kings Mountain	NC	[De-identified Min]	—	both	min	$1,030.06
Atrium Health Anson	NC	[De-identified Min]	—	both	min	$1,030.06
Atrium Health Pineville	NC	[De-identified Min]	—	both	min	$1,030.06
Carolinas Medical Center	NC	[De-identified Min]	—	both	min	$1,030.06
Atrium Health Stanly	NC	[De-identified Min]	—	both	min	$1,030.06
Atrium Health Union	NC	[De-identified Min]	—	both	min	$1,030.06
Gaston Memorial Hospital	NC	UnitedHealthcare	Commercial	outpatient	negotiated	$16,438
Gaston Memorial Hospital	NC	corporate benefits service	Commercial	outpatient	negotiated	$11,360
Gaston Memorial Hospital	NC	carolina caring	Commercial	outpatient	negotiated	$10,557
Gaston Memorial Hospital	NC	Cigna	Individual Family Plan	outpatient	negotiated	$7,854.69
Gaston Memorial Hospital	NC	surgery plus	Commercial	outpatient	negotiated	$7,390.16
Atrium Health Cabarrus	NC	ortho carolina	Commercial	outpatient	negotiated	$4,782.68
Atrium Health Pineville	NC	ortho carolina	Commercial	outpatient	negotiated	$4,782.68
Carolinas Medical Center	NC	ortho carolina	Commercial	outpatient	negotiated	$4,782.68
Atrium Health Union	NC	ortho carolina	Commercial	outpatient	negotiated	$4,782.68
Gaston Memorial Hospital	NC	Humana	Medicare Advantage	outpatient	negotiated	$4,518.56
Gaston Memorial Hospital	NC	healthteam	Medicare Advantage	outpatient	negotiated	$4,434.10
Gaston Memorial Hospital	NC	longevity health	Medicare Advantage	outpatient	negotiated	$4,434.10
Gaston Memorial Hospital	NC	Molina	Medicare Advantage	outpatient	negotiated	$4,434.10
Gaston Memorial Hospital	NC	devoted health	Medicare Advantage	outpatient	negotiated	$4,434.10
Gaston Memorial Hospital	NC	Aetna	Medicare Advantage	outpatient	negotiated	$4,391.87
Gaston Memorial Hospital	NC	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$4,222.95
Gaston Memorial Hospital	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$4,222.95
Atrium Health Cabarrus	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$4,029.31
Atrium Health Anson	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$4,029.31
Atrium Health Pineville	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$4,029.31
Carolinas Medical Center	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$4,029.31
Atrium Health Stanly	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$4,029.31
Atrium Health Cabarrus	NC	Cigna	Medicare Advantage	outpatient	negotiated	$4,017.45
Atrium Health Anson	NC	Cigna	Medicare Advantage	outpatient	negotiated	$4,017.45
Atrium Health Pineville	NC	Cigna	Medicare Advantage	outpatient	negotiated	$4,017.45
Carolinas Medical Center	NC	Cigna	Medicare Advantage	outpatient	negotiated	$4,017.45
Atrium Health Stanly	NC	Cigna	Medicare Advantage	outpatient	negotiated	$4,017.45
Atrium Health Cleveland	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$3,978.22
Atrium Health Kings Mountain	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$3,978.22
Atrium Health Cleveland	NC	Cigna	Medicare Advantage	outpatient	negotiated	$3,966.51
Atrium Health Kings Mountain	NC	Cigna	Medicare Advantage	outpatient	negotiated	$3,966.51
Columbus Regional Healthcare System	NC	Cigna	Medicare Advantage	outpatient	negotiated	$3,962.71
Atrium Health Cabarrus	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,960.06
Atrium Health Anson	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,960.06
Atrium Health Pineville	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,960.06
Carolinas Medical Center	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,960.06
Atrium Health Stanly	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,960.06
Wrmc Hospital Operating Corporation	NC	healthteam	Medicare Advantage	outpatient	negotiated	$3,957.58
Columbus Regional Healthcare System	NC	devoted health	Medicare Advantage	outpatient	negotiated	$3,924.97
Atrium Health Cleveland	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,909.84
Atrium Health Kings Mountain	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,909.84
Columbus Regional Healthcare System	NC	Aetna	Medicare Advantage	outpatient	negotiated	$3,906.10
Atrium Health Cabarrus	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,902.66
Atrium Health Anson	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,902.66
Atrium Health Pineville	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,902.66
Carolinas Medical Center	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,902.66
Atrium Health Stanly	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,902.66
Atrium Health Union	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,902.66
Columbus Regional Healthcare System	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,887.23
Atrium Health Cleveland	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,853.18
Atrium Health Kings Mountain	NC	Humana	Medicare Advantage	outpatient	negotiated	$3,853.18
Columbus Regional Healthcare System	NC	liberty	Medicare Advantage	outpatient	negotiated	$3,849.49
Columbus Regional Healthcare System	NC	vaya health	Medicare Advantage	outpatient	negotiated	$3,811.75
Columbus Regional Healthcare System	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$3,774.01
Columbus Regional Healthcare System	NC	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$3,774.01
Columbus Regional Healthcare System	NC	troy	Medicare Advantage	outpatient	negotiated	$3,774.01
Columbus Regional Healthcare System	NC	WellCare	Medicare Advantage	outpatient	negotiated	$3,774.01
Columbus Regional Healthcare System	NC	va communicare care	Medicare Advantage	outpatient	negotiated	$3,774.01
Columbus Regional Healthcare System	NC	Molina	Managed Medicaid	inpatient	negotiated	$1,539.91
Carolinas Medical Center	NC	Molina	Managed Medicaid	outpatient	negotiated	$1,432.11
Atrium Health Cabarrus	NC	ortho carolina	Commercial	both	negotiated	$1,300.21
Atrium Health Pineville	NC	ortho carolina	Commercial	both	negotiated	$1,300.21
Carolinas Medical Center	NC	ortho carolina	Commercial	both	negotiated	$1,300.21
Atrium Health Union	NC	ortho carolina	Commercial	both	negotiated	$1,300.21
Atrium Health Cabarrus	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Cleveland	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Kings Mountain	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Anson	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Pineville	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Carolinas Medical Center	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Stanly	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Union	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,079.54
Atrium Health Cabarrus	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Cleveland	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Kings Mountain	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Anson	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Pineville	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Carolinas Medical Center	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Stanly	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Union	NC	Aetna	Medicare Advantage	both	negotiated	$1,076.58
Atrium Health Cabarrus	NC	Humana	Medicare Advantage	both	negotiated	$1,060.97
Atrium Health Cleveland	NC	Humana	Medicare Advantage	both	negotiated	$1,060.97
Atrium Health Kings Mountain	NC	Humana	Medicare Advantage	both	negotiated	$1,060.97
Atrium Health Anson	NC	Humana	Medicare Advantage	both	negotiated	$1,060.97
Atrium Health Pineville	NC	Humana	Medicare Advantage	both	negotiated	$1,060.97
Carolinas Medical Center	NC	Humana	Medicare Advantage	both	negotiated	$1,060.97
Atrium Health Cabarrus	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Atrium Health Cleveland	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Atrium Health Kings Mountain	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Atrium Health Anson	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Atrium Health Pineville	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Carolinas Medical Center	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Atrium Health Stanly	NC	alliance	Managed Medicaid	both	negotiated	$1,050.66
Atrium Health Cabarrus	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cabarrus	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cabarrus	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cabarrus	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cabarrus	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cabarrus	NC	WellCare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	partners	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	WellCare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cleveland	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	partners	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	WellCare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Kings Mountain	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Anson	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Anson	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Anson	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Anson	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Anson	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Anson	NC	partners	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	partners	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Pineville	NC	WellCare	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	WellCare	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Carolinas Medical Center	NC	trillium	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	WellCare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	carolina complete health	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	healthy blue	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	partners	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Stanly	NC	vaya	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Union	NC	partners	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Union	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$1,040.36
Atrium Health Cabarrus	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Cleveland	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Kings Mountain	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Anson	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Pineville	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Carolinas Medical Center	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Union	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Stanly	NC	Cigna	Medicare Advantage	both	negotiated	$1,040.17
Atrium Health Cabarrus	NC	partners	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Cabarrus	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Cleveland	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Kings Mountain	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Anson	NC	WellCare	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Anson	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Pineville	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Carolinas Medical Center	NC	partners	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Stanly	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Atrium Health Union	NC	trillium	Managed Medicaid	both	negotiated	$1,030.06
Gaston Memorial Hospital	NC	[De-identified Max]	—	outpatient	max	$16,438
Atrium Health Cabarrus	NC	[De-identified Max]	—	outpatient	max	$4,782.68
Atrium Health Pineville	NC	[De-identified Max]	—	outpatient	max	$4,782.68
Carolinas Medical Center	NC	[De-identified Max]	—	outpatient	max	$4,782.68
Atrium Health Union	NC	[De-identified Max]	—	outpatient	max	$4,782.68
Atrium Health Anson	NC	[De-identified Max]	—	outpatient	max	$4,029.31
Atrium Health Stanly	NC	[De-identified Max]	—	outpatient	max	$4,029.31
Atrium Health Cleveland	NC	[De-identified Max]	—	outpatient	max	$3,978.22
Atrium Health Kings Mountain	NC	[De-identified Max]	—	outpatient	max	$3,978.22
Columbus Regional Healthcare System	NC	[De-identified Max]	—	outpatient	max	$3,962.71
Wrmc Hospital Operating Corporation	NC	[De-identified Max]	—	outpatient	max	$3,957.58
Columbus Regional Healthcare System	NC	[De-identified Max]	—	inpatient	max	$1,539.91
Atrium Health Cabarrus	NC	[De-identified Max]	—	both	max	$1,300.21
Atrium Health Pineville	NC	[De-identified Max]	—	both	max	$1,300.21
Carolinas Medical Center	NC	[De-identified Max]	—	both	max	$1,300.21
Atrium Health Union	NC	[De-identified Max]	—	both	max	$1,300.21
Atrium Health Cleveland	NC	[De-identified Max]	—	both	max	$1,079.54
Atrium Health Kings Mountain	NC	[De-identified Max]	—	both	max	$1,079.54
Atrium Health Anson	NC	[De-identified Max]	—	both	max	$1,079.54
Atrium Health Stanly	NC	[De-identified Max]	—	both	max	$1,079.54

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).