Cost analysis for CPT 67036 — Removal of eye fluid (vitreous) between lens and retina
Average Medicare Payment
$855.29
2023 data
Total Payments (2023)
$21.0M
Services (2023)
21.5K
Price Change (2014–2023)
+1.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $841.64 | $12.3M | 13.6K | — |
| 2015 | $775.40 | $12.4M | 14.7K | -7.9% |
| 2016 | $625.55 | $9.5M | 15.0K | -19.3% |
| 2017 | $793.21 | $14.1M | 16.2K | +26.8% |
| 2018 | $806.94 | $15.8M | 17.8K | +1.7% |
| 2019 | $813.77 | $17.2M | 19.2K | +0.8% |
| 2020 | $859.81 | $14.1M | 14.9K | +5.7% |
| 2021 | $843.48 | $17.6M | 18.6K | -1.9% |
| 2022 | $852.97 | $19.0M | 19.6K | +1.1% |
| 2023 | $855.29 | $21.0M | 21.5K | +0.3% |
The most expensive state pays 1.6x more than the cheapest for this procedure. WA averages $1134.41 vs AL at $705.55.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| WA | $1134.41 | $686.3K | 605 | 24 |
| MN | $1121.55 | $262.4K | 234 | 7 |
| SC | $1109.11 | $682.1K | 615 | 17 |
| GA | $1101.68 | $283.1K | 257 | 12 |
| CO | $1091.90 | $970.7K | 889 | 26 |
| SD | $1086.41 | $163.0K | 150 | 5 |
| CA | $1069.85 | $1.9M | 1.8K | 71 |
| HI | $1051.40 | $138.8K | 132 | 6 |
| IN | $1050.94 | $523.4K | 498 | 14 |
| AZ | $1036.82 | $1.0M | 988 | 27 |
| FL | $1033.01 | $2.3M | 2.2K | 73 |
| ID | $1026.49 | $233.0K | 227 | 7 |
| TX | $998.35 | $1.9M | 1.9K | 66 |
| UT | $996.94 | $362.9K | 364 | 15 |
| MA | $983.72 | $363.0K | 369 | 21 |
| OR | $983.67 | $376.7K | 383 | 13 |
| MO | $977.99 | $407.8K | 417 | 16 |
| CT | $973.41 | $147.0K | 151 | 8 |
| NM | $964.12 | $156.2K | 162 | 5 |
| LA | $961.10 | $260.5K | 271 | 11 |
| NY | $959.22 | $1.2M | 1.2K | 50 |
| NV | $954.97 | $104.1K | 109 | 5 |
| VA | $949.14 | $416.7K | 439 | 21 |
| MD | $942.11 | $417.4K | 443 | 19 |
| NJ | $938.00 | $398.7K | 425 | 20 |
| TN | $934.61 | $537.4K | 575 | 22 |
| KS | $927.30 | $256.9K | 277 | 12 |
| KY | $914.18 | $505.5K | 553 | 18 |
| MI | $908.64 | $179.9K | 198 | 11 |
| OK | $903.32 | $178.9K | 198 | 9 |
| OH | $891.56 | $963.8K | 1.1K | 46 |
| MS | $873.45 | $359.9K | 412 | 14 |
| PA | $844.77 | $498.4K | 590 | 25 |
| NC | $834.40 | $351.3K | 421 | 21 |
| WI | $825.94 | $137.1K | 166 | 9 |
| IL | $801.57 | $439.3K | 548 | 25 |
| IA | $729.58 | $202.1K | 277 | 13 |
| AL | $705.55 | $198.3K | 281 | 16 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Ambulatory Surgical Center | TX | $296.5K | 198 | $1497.57 |
| Northern California Advanced Surgery Center Lp | Ambulatory Surgical Center | CA | $291.5K | 140 | $2082.10 |
| Surgery Affiliates, Llc | Ambulatory Surgical Center | CO | $228.2K | 152 | $1501.03 |
| Scottsdale Eye Surgery Center, P.C | Ambulatory Surgical Center | AZ | $206.5K | 138 | $1496.19 |
| Cleveland Eye And Laser Surgery Center Llc | Ambulatory Surgical Center | OH | $202.3K | 141 | $1434.98 |
| Lowcountry Surgery Center Llc | Ambulatory Surgical Center | SC | $195.5K | 134 | $1458.79 |
| The Retina Surgery Center Llc | Ambulatory Surgical Center | WA | $168.6K | 103 | $1636.98 |
| Surgicare Of Minneapolis Ltd | Ambulatory Surgical Center | MN | $162.7K | 102 | $1595.06 |
| Spectra Eye Institute, Llc | Ambulatory Surgical Center | AZ | $155.1K | 104 | $1491.05 |
| Beltway Surgery Centers, Llc | Ambulatory Surgical Center | IN | $144.8K | 95 | $1524.25 |
| Sarasota Endoscopy Asc Llc | Ambulatory Surgical Center | FL | $142.3K | 96 | $1482.09 |
| Montgomery Surgery Center Limited Partnership | Ambulatory Surgical Center | MD | $138.6K | 89 | $1557.79 |
| Island Eye Surgicenter Llc | Ambulatory Surgical Center | NY | $137.9K | 79 | $1745.56 |
| Eye Specialists Laser & Surgery Center Inc | Ambulatory Surgical Center | FL | $136.7K | 93 | $1470.19 |
| Santa Rosa Surgery Center L P | Ambulatory Surgical Center | CA | $136.3K | 64 | $2129.30 |
| Oregon Eye Surgery Center, Inc. | Ambulatory Surgical Center | OR | $134.1K | 81 | $1655.26 |
| Cei Physicians Psc Llc | Ambulatory Surgical Center | OH | $133.7K | 94 | $1421.95 |
| Georgia Retina Surgery Center, Llc | Ambulatory Surgical Center | GA | $133.2K | 89 | $1496.09 |
| Abilene Surgery Center, Llc | Ambulatory Surgical Center | TX | $125.6K | 89 | $1411.67 |
| Insight Surgery Center, Llc | Ambulatory Surgical Center | CO | $124.0K | 82 | $1511.92 |
Based on the data, CPT 67036 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 1.6% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.