Complex repair of detached retina and drainage of eye fluid between lens and retina
Medicare pricing data for 2,730 providers across 49 states
Prices vary significantly by location — from $645 in District of Columbia to $2,068 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
Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS code 67113) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,343, but hospitals typically charge $5,720 — a 4.3x 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 $1,343, your out-of-pocket cost would be approximately $268.65. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $1,068 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $2,068 | $25,044 | 2 | 24 | +53.9% |
| South Dakota | $1,533 | $4,378 | 10 | 75 | +14.1% |
| Connecticut | $1,514 | $10,374 | 22 | 104 | +12.7% |
| Montana | $1,506 | $3,947 | 8 | 64 | +12.2% |
| New Jersey | $1,494 | $5,931 | 69 | 323 | +11.3% |
| Indiana | $1,487 | $13,895 | 38 | 282 | +10.7% |
| Maine | $1,482 | $5,859 | 11 | 76 | +10.3% |
| Minnesota | $1,476 | $7,827 | 33 | 258 | +9.9% |
| Arizona | $1,460 | $3,000 | 58 | 754 | +8.7% |
| California | $1,455 | $5,871 | 318 | 1,562 | +8.4% |
| New Hampshire | $1,454 | $5,151 | 7 | 23 | +8.3% |
| Florida | $1,449 | $6,275 | 217 | 1,401 | +7.9% |
| South Carolina | $1,421 | $7,003 | 41 | 234 | +5.8% |
| Colorado | $1,418 | $6,822 | 49 | 254 | +5.6% |
| Kansas | $1,414 | $6,876 | 34 | 220 | +5.3% |
| Texas | $1,395 | $8,413 | 209 | 1,499 | +3.8% |
| Washington | $1,392 | $4,068 | 58 | 434 | +3.6% |
| New York | $1,389 | $5,957 | 156 | 685 | +3.4% |
| Hawaii | $1,380 | $4,970 | 13 | 53 | +2.7% |
| Utah | $1,371 | $6,506 | 31 | 185 | +2.0% |
| Nevada | $1,368 | $4,938 | 20 | 95 | +1.8% |
| Louisiana | $1,367 | $5,278 | 41 | 228 | +1.8% |
| Nebraska | $1,358 | $5,417 | 15 | 80 | +1.1% |
| Delaware | $1,358 | $2,450 | 5 | 17 | +1.1% |
| Georgia | $1,357 | $5,943 | 55 | 207 | +1.0% |
| Rhode Island | $1,356 | $3,401 | 7 | 24 | +0.9% |
| Maryland | $1,315 | $4,767 | 74 | 434 | -2.1% |
| Mississippi | $1,314 | $4,184 | 24 | 272 | -2.2% |
| Tennessee | $1,313 | $6,291 | 64 | 496 | -2.3% |
| Idaho | $1,307 | $3,797 | 10 | 58 | -2.7% |
| Missouri | $1,304 | $4,506 | 55 | 412 | -2.9% |
| Oregon | $1,298 | $3,519 | 43 | 169 | -3.3% |
| Pennsylvania | $1,293 | $5,261 | 109 | 623 | -3.8% |
| Oklahoma | $1,286 | $5,130 | 17 | 205 | -4.3% |
| Massachusetts | $1,262 | $4,472 | 83 | 324 | -6.0% |
| Ohio | $1,245 | $4,391 | 120 | 756 | -7.3% |
| Kentucky | $1,238 | $4,561 | 34 | 225 | -7.9% |
| Virginia | $1,233 | $4,192 | 69 | 314 | -8.2% |
| Alabama | $1,190 | $4,006 | 35 | 182 | -11.4% |
| North Carolina | $1,177 | $3,736 | 77 | 378 | -12.3% |
| Arkansas | $1,131 | $4,163 | 17 | 72 | -15.8% |
| Iowa | $1,131 | $5,407 | 37 | 259 | -15.8% |
| West Virginia | $1,128 | $4,174 | 9 | 43 | -16.0% |
| Michigan | $1,103 | $3,619 | 96 | 387 | -17.9% |
| Wisconsin | $1,096 | $11,153 | 39 | 201 | -18.4% |
| Illinois | $1,087 | $4,217 | 97 | 602 | -19.1% |
| New Mexico | $1,086 | $2,326 | 13 | 146 | -19.1% |
| North Dakota | $953 | $2,789 | 5 | 29 | -29.1% |
| District of Columbia | $645 | $4,171 | 5 | 28 | -52.0% |
⚠️ 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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