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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 67036
  4. Cost Analysis

How Much Does Removal of eye fluid (vitreous) between lens and retina Cost on Medicare?

Cost analysis for CPT 67036 — Removal of eye fluid (vitreous) between lens and retina

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Average Medicare Payment

$855.29

2023 data

Total Payments (2023)

$21.0M

Services (2023)

21.5K

Price Change (2014–2023)

+1.6%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$841.64$12.3M13.6K—
2015$775.40$12.4M14.7K-7.9%
2016$625.55$9.5M15.0K-19.3%
2017$793.21$14.1M16.2K+26.8%
2018$806.94$15.8M17.8K+1.7%
2019$813.77$17.2M19.2K+0.8%
2020$859.81$14.1M14.9K+5.7%
2021$843.48$17.6M18.6K-1.9%
2022$852.97$19.0M19.6K+1.1%
2023$855.29$21.0M21.5K+0.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.6x more than the cheapest for this procedure. WA averages $1134.41 vs AL at $705.55.

StateAvg PaymentTotal PaymentsServicesProviders
WA$1134.41$686.3K60524
MN$1121.55$262.4K2347
SC$1109.11$682.1K61517
GA$1101.68$283.1K25712
CO$1091.90$970.7K88926
SD$1086.41$163.0K1505
CA$1069.85$1.9M1.8K71
HI$1051.40$138.8K1326
IN$1050.94$523.4K49814
AZ$1036.82$1.0M98827
FL$1033.01$2.3M2.2K73
ID$1026.49$233.0K2277
TX$998.35$1.9M1.9K66
UT$996.94$362.9K36415
MA$983.72$363.0K36921
OR$983.67$376.7K38313
MO$977.99$407.8K41716
CT$973.41$147.0K1518
NM$964.12$156.2K1625
LA$961.10$260.5K27111
NY$959.22$1.2M1.2K50
NV$954.97$104.1K1095
VA$949.14$416.7K43921
MD$942.11$417.4K44319
NJ$938.00$398.7K42520
TN$934.61$537.4K57522
KS$927.30$256.9K27712
KY$914.18$505.5K55318
MI$908.64$179.9K19811
OK$903.32$178.9K1989
OH$891.56$963.8K1.1K46
MS$873.45$359.9K41214
PA$844.77$498.4K59025
NC$834.40$351.3K42121
WI$825.94$137.1K1669
IL$801.57$439.3K54825
IA$729.58$202.1K27713
AL$705.55$198.3K28116

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Ophthalmology Surgery Center Of Dallas, LlcAmbulatory Surgical CenterTX$296.5K198$1497.57
Northern California Advanced Surgery Center LpAmbulatory Surgical CenterCA$291.5K140$2082.10
Surgery Affiliates, LlcAmbulatory Surgical CenterCO$228.2K152$1501.03
Scottsdale Eye Surgery Center, P.CAmbulatory Surgical CenterAZ$206.5K138$1496.19
Cleveland Eye And Laser Surgery Center LlcAmbulatory Surgical CenterOH$202.3K141$1434.98
Lowcountry Surgery Center LlcAmbulatory Surgical CenterSC$195.5K134$1458.79
The Retina Surgery Center LlcAmbulatory Surgical CenterWA$168.6K103$1636.98
Surgicare Of Minneapolis LtdAmbulatory Surgical CenterMN$162.7K102$1595.06
Spectra Eye Institute, LlcAmbulatory Surgical CenterAZ$155.1K104$1491.05
Beltway Surgery Centers, LlcAmbulatory Surgical CenterIN$144.8K95$1524.25
Sarasota Endoscopy Asc LlcAmbulatory Surgical CenterFL$142.3K96$1482.09
Montgomery Surgery Center Limited PartnershipAmbulatory Surgical CenterMD$138.6K89$1557.79
Island Eye Surgicenter LlcAmbulatory Surgical CenterNY$137.9K79$1745.56
Eye Specialists Laser & Surgery Center IncAmbulatory Surgical CenterFL$136.7K93$1470.19
Santa Rosa Surgery Center L PAmbulatory Surgical CenterCA$136.3K64$2129.30
Oregon Eye Surgery Center, Inc.Ambulatory Surgical CenterOR$134.1K81$1655.26
Cei Physicians Psc LlcAmbulatory Surgical CenterOH$133.7K94$1421.95
Georgia Retina Surgery Center, LlcAmbulatory Surgical CenterGA$133.2K89$1496.09
Abilene Surgery Center, LlcAmbulatory Surgical CenterTX$125.6K89$1411.67
Insight Surgery Center, LlcAmbulatory Surgical CenterCO$124.0K82$1511.92

🤔 Is Removal of eye fluid (vitreous) between lens and retina Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.