Removal of eye fluid (vitreous) between lens and retina
Medicare pricing data for 3,404 providers across 50 states
Prices vary significantly by location — from $275 in District of Columbia to $1,878 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of eye fluid (vitreous) between lens and retina (HCPCS code 67036) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,124, but hospitals typically charge $4,462 — a 4.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,124, your out-of-pocket cost would be approximately $224.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $893.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,878 | $11,639 | 5 | 82 | +67.0% |
| South Dakota | $1,335 | $3,504 | 14 | 201 | +18.8% |
| New Hampshire | $1,315 | $5,623 | 11 | 76 | +17.0% |
| Colorado | $1,295 | $5,004 | 67 | 1,060 | +15.2% |
| Arizona | $1,285 | $3,541 | 65 | 1,170 | +14.3% |
| South Carolina | $1,283 | $4,593 | 47 | 770 | +14.1% |
| Washington | $1,270 | $3,230 | 74 | 836 | +13.0% |
| Minnesota | $1,253 | $6,487 | 40 | 404 | +11.5% |
| Idaho | $1,234 | $3,633 | 17 | 285 | +9.7% |
| Indiana | $1,224 | $6,767 | 50 | 632 | +8.9% |
| Hawaii | $1,222 | $3,996 | 17 | 168 | +8.7% |
| Florida | $1,219 | $4,671 | 264 | 3,030 | +8.4% |
| Montana | $1,216 | $3,066 | 14 | 102 | +8.1% |
| California | $1,204 | $5,379 | 413 | 3,185 | +7.1% |
| Connecticut | $1,200 | $6,324 | 43 | 277 | +6.7% |
| Georgia | $1,188 | $4,575 | 67 | 471 | +5.7% |
| Oregon | $1,170 | $2,732 | 53 | 539 | +4.0% |
| Rhode Island | $1,160 | $3,013 | 10 | 56 | +3.2% |
| Texas | $1,157 | $6,114 | 239 | 2,610 | +2.8% |
| Utah | $1,155 | $5,007 | 39 | 521 | +2.7% |
| New Mexico | $1,122 | $2,481 | 17 | 216 | -0.2% |
| Louisiana | $1,119 | $3,849 | 53 | 435 | -0.4% |
| Nebraska | $1,112 | $3,567 | 21 | 185 | -1.1% |
| New Jersey | $1,110 | $5,013 | 94 | 722 | -1.3% |
| New York | $1,099 | $4,779 | 222 | 1,805 | -2.3% |
| Kentucky | $1,092 | $4,360 | 38 | 643 | -2.9% |
| Kansas | $1,088 | $4,748 | 36 | 414 | -3.2% |
| Mississippi | $1,083 | $2,609 | 27 | 471 | -3.7% |
| Oklahoma | $1,068 | $4,462 | 24 | 256 | -5.0% |
| Tennessee | $1,064 | $4,297 | 78 | 799 | -5.4% |
| North Dakota | $1,062 | $3,938 | 7 | 69 | -5.6% |
| Virginia | $1,061 | $3,722 | 82 | 718 | -5.7% |
| Maryland | $1,060 | $5,138 | 88 | 719 | -5.8% |
| Vermont | $1,054 | $4,281 | 6 | 40 | -6.2% |
| Delaware | $1,047 | $1,853 | 6 | 61 | -6.9% |
| Missouri | $1,045 | $3,596 | 68 | 684 | -7.0% |
| Nevada | $1,043 | $4,195 | 28 | 219 | -7.2% |
| Pennsylvania | $1,042 | $3,462 | 145 | 1,113 | -7.3% |
| Ohio | $1,023 | $3,741 | 142 | 1,497 | -9.0% |
| Massachusetts | $992 | $3,265 | 118 | 735 | -11.8% |
| Illinois | $968 | $3,474 | 121 | 915 | -13.9% |
| North Carolina | $955 | $2,937 | 86 | 666 | -15.0% |
| Maine | $948 | $5,085 | 15 | 88 | -15.7% |
| Alabama | $906 | $2,895 | 48 | 410 | -19.5% |
| West Virginia | $898 | $2,665 | 11 | 82 | -20.2% |
| Michigan | $897 | $2,643 | 102 | 564 | -20.2% |
| Iowa | $889 | $4,439 | 35 | 398 | -20.9% |
| Arkansas | $834 | $2,525 | 20 | 133 | -25.8% |
| Wisconsin | $834 | $6,834 | 52 | 361 | -25.9% |
| District of Columbia | $275 | $2,534 | 4 | 64 | -75.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber