67108

Repair of detached retina with drainage and removal of eye fluid between lens and retina

Medicare pricing data for 3,014 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $419 in District of Columbia to $1,952 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

Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS code 67108) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,284, but hospitals typically charge $5,530 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$256.80

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,284, your out-of-pocket cost would be approximately $256.80. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,284
Average Hospital Charge
$5,530
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,530.13
Medicare Allowed$1,284.01
Medicare Payment$1,020.87

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $1,021 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,952$20,046455+52.0%
Wyoming$1,569$7,781232+22.2%
Rhode Island$1,485$3,660851+15.7%
South Dakota$1,463$4,40212242+13.9%
Arizona$1,461$3,53457678+13.8%
Connecticut$1,461$10,42033151+13.8%
Minnesota$1,442$8,98042435+12.3%
Montana$1,432$3,94010129+11.5%
Vermont$1,427$5,242648+11.2%
Colorado$1,405$6,38660643+9.5%
Washington$1,405$3,74563726+9.4%
Delaware$1,391$2,056537+8.3%
Florida$1,390$6,0982342,183+8.3%
Indiana$1,389$10,47042585+8.2%
Georgia$1,370$5,52464490+6.7%
South Carolina$1,364$6,23143529+6.3%
Texas$1,363$7,8322342,218+6.2%
California$1,360$5,7003322,498+5.9%
Kansas$1,347$6,91935520+4.9%
Idaho$1,343$3,45612140+4.6%
Virginia$1,317$5,03378699+2.6%
Louisiana$1,299$4,71446326+1.2%
Nebraska$1,294$4,49816248+0.8%
New Jersey$1,294$5,21779464+0.8%
Utah$1,288$6,04634271+0.3%
New Hampshire$1,287$9,5661052+0.2%
New Mexico$1,284$2,61012118-0.0%
Oklahoma$1,267$4,86018233-1.4%
Oregon$1,267$3,24751443-1.4%
Maine$1,258$5,8641291-2.1%
Mississippi$1,235$4,52824269-3.8%
Maryland$1,234$5,03985590-3.9%
New York$1,224$5,4181711,037-4.7%
Nevada$1,221$5,33823178-4.9%
Kentucky$1,219$3,90339447-5.1%
Missouri$1,212$4,81466542-5.6%
Tennessee$1,198$5,470731,135-6.7%
Ohio$1,197$4,2851261,117-6.8%
Pennsylvania$1,186$4,856121911-7.6%
North Dakota$1,159$2,476441-9.7%
North Carolina$1,156$3,86686651-10.0%
Alabama$1,153$3,98739355-10.2%
Massachusetts$1,139$4,184102611-11.3%
Wisconsin$1,119$9,61147419-12.8%
Michigan$1,100$3,765114607-14.3%
Hawaii$1,083$3,5971373-15.7%
West Virginia$1,079$3,7981058-16.0%
Iowa$1,056$5,34835424-17.7%
Arkansas$1,043$3,74617123-18.7%
Illinois$1,042$3,498108969-18.9%
District of Columbia$419$3,870547-67.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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