Search thousands of topics on CostHelper.com

BROWSE ALL TOPICS >> appliances babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business weddings
CostHelper > Health & Personal Care  > Opthamology & Optometry > Macular Hole Treatment

Macular Hole Treatment Cost


How Much Does Macular Hole Treatment Cost?

 
average costWith Health Insurance: Hospital Copay + 10%-50% Coinsurancehigh costWithout Health Insurance: $1,500-$5,000+
post E-mail post Post   Comments (2)

A macular hole[1] is a break in a part of the retina, called the macula, that's responsible for central vision. It's created when the vitreous, a gel-like substance in the eye, shrinks and tugs at the retina in the process. Though the condition often comes with old age, it can also be caused by eye disorders, such as retinal detachment; eye disease, such as diabetic retinopathy; or eye injuries. Some macular holes will heal on their own and require no treatment; others may require surgery to improve vision.

Typical costs:

  • Patients experiencing symptoms[2] such as a slight distortion or blurriness in vision typically start out with a visit to an eye doctor. The national average charge for a comprehensive eye exam is $114 for those without insurance. For patients with vision insurance coverage, the typical copay is $5-$35.
  • If medical attention is needed, an eye doctor will typically recommend a vitrectomy[3] , a procedure in which eye fluid is removed so that the retina can be repaired. Vitrectomies typically cost about $5,000 per eye, including fees for the doctor, hospital and anesthesiologist. For instance, at VitreoRetinal Surgery[4] in Minneapolis, patients would typically pay $1,500-$3,000 for the procedure, depending on the extent of the problem and any other complications that may be present, in addition to fees for the hospital and anesthesiologist, and $50-$350 for an initial consultation.
  • For insured patients, out-of-pocket costs typically consist of a specialist copay, possibly a hospital copay of $100 or more, and coinsurance of 10%-50% for the procedure, which could reach the yearly out-of-pocket maximum. According to the Kaiser Family Foundation, the average hospital copay for outpatient surgery is $132 and for inpatient surgery is $232. The average coinsurance rate is 17%-18%.
Related articles: Macular Degeneration Treatment, Glaucoma Treatment, Cataract Surgery, Eye Exam, Health Insurance

What should be included:
  • In addition to taking a complete medical history, an eye doctor may perform tests[5] to see how much of the retina is affected, such as a refraction test[6] or using a lighted instrument called an ophthalmoscope to examine the eye.
  • If needed, a vitrectomy typically takes two to three hours. At the end of the procedure, a silicone oil or a gas will be injected into the eye to replace the vitreous, and following surgery, patients will need to lie face-down for a few days or sometimes more, to enable the gas or oil to seal the hole.
Additional costs:
  • According to the National Institutes of Health, if a macular hole exists in one eye, there is a 10%-15% chance that a macular hole will develop in the other eye as well.
  • Following a vitrectomy, patients often buy or rent health aids to help them remain in a face down position during their recovery period. Products include specially designed pillows[7] , body cushions[8] and chairs[9] and range in price from $20-$300, depending on the size and type of product. Some health insurers, like Cigna[10] will cover rental of the products.
Shopping for macular hole treatment:
  • Patients considering vitrectomy should note the risks[11] , such as infection, an increase in the rate of cataract development, and the development of retinal detachment.
  • The American Academy of Ophthalmology provides a database of ophthalmologists[12] patients can search.
  • The Mayo Clinic offers a list of tips[13] to help patients prepare for a visit to the ophthalmologist.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post E-mail post Post   Comments (2)
CostHelper News


10 Key Ways to Prepare for Extreme Snow
Forecasters are predicting a true nor'easter will hit the eastern and central states with rain, thunderstorms, ice, snow and high winds over the Thanksgiving weekend. It's crucial to plan ahead, before bad weather hits. || Posted November 26 2013


10 Most Popular Cosmetic Procedures Before the Holidays
With reunions and other get-togethers scheduled during the holiday season, most people want to look their best at this time of year. For some, that means filling in those wrinkles with a bit of botox, or having a nip and tuck down here and there. || Posted November 23 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments
Macular Hole
Amount: $15,000.00
Posted by: ?????? in Grants Pass, OR.Posted: October 20th, 2014 01:10PM
Treatment: VitrectomyInsurance: none
We paid the optometrist $350 for initial visit.Diagnosis: macular hole.
We paid the retina specialist $550. for initial visit. Confirmed macular hole.
Vitrectomy surgery:
Dr. Charged $2,500. Hospital charged $13,000. Haven't heard from the anesthesiologist yet. Looks like it will be more than $15,000. before they are through billing us.
Was this post helpful to you?   yes     no Report prohibited or spam
hole macular eye
Amount: $0.00
Posted by: antonella in mountain top, PA.Posted: March 7th, 2013 04:03AM
Treatment: noInsurance: no
Ophthalmologist: italy
my mom just discover this problem, the doctor said the she is going rapidaly blind, the problem is the she leave in italy but i am american citizen! is nothing i can do to help.? please let me know
Was this post helpful to you?   yes     no Report prohibited or spam


 

Comment On Your Experience With Macular Hole Treatment
 
Subject:  *
Amount Spent:  *
Treatment: Insurance: 
Ophthalmologist:   
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  www.nei.nih.gov/health/macularhole/macularhole.asp#1
  2.  www.nei.nih.gov/health/macularhole/macularhole.asp#d
  3.  www.webmd.com/eye-health/vitrectomy
  4.  www.retinaphysicians.com/
  5.  www.mayoclinic.org/retinal-diseases/diagnosis.html
  6.  www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004297/
  7.  www.sears.com/shc/s/p_10153_12605_SPM1538132601P?sid=IDx20101019x00001a&ci_src=14110944...
  8.  www.vitrectomy.com/?m=sale
  9.  www.kellycomfort.com/ourproductsseated.html
  10.  www.cigna.com/assets/docs/health-care-professionals/coverage_positions/not-found.html
  11.  www.nei.nih.gov/health/macularhole/macularhole.asp#8
  12.  www.aao.org/find_eyemd.cfm
  13.  www.mayoclinic.com/health/retinal-detachment/DS00254/DSECTION=preparing-for-your-appoin...
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Does Chemotherapy Cost? How Much Does Growing Medical Marijuana Outdoors Cost? How Much Do Crutches Cost?

Search Thousands of Topics on CostHelper.com




Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
24hour locksmith
Paid: 115.00
This is a crooked company.24 hour locksmith in Omaha ne... [more]
-stuart
Locksmith Cost
A very long driveway! 50 YARDS
Paid: 40.00
Gave a $10 tip, so a total of $50. He ran truck thru driveway and hand shoveled the sidewalks, deck and steps. I tried to get a head start last night -but overnight the drifts grew to 5 and 6 feet or more... [more]
-Tuffy
Snow Removal Cost
Geo-Thermal
Paid: 0.00
We purchased a home built in 1992 with a Geo-Thermal. We were so excited, now we are Not impressed. Yes it is quieter, but the savings are not significant. Every year we have an issue and very few companies work on them... [more]
-LISAM
Geothermal Heat Pump Cost
Oil burner prime
Paid: 80.00
This seems like a lot of money to prime an oil burner. A task that takes 5 minutes and a bill for $80... [more]
-Mark Stevens
Furnace Tune-up Cost
Tummy tuck
Paid: 0.00
I'm a 46 yr old beautiful woman I only look about 35 I'm often mistaken for my 25 yr old sons wife however I'm fairly thin and fit but my tummy is large & sagging and gives me a huge complex I've done exercise dieting the rest of me ge... [more]
-Ahagg
Tummy Tuck Cost
Interpreter
Paid: 200.00
$200 was the best money ever spend in hiring Albanian court interpreter Mr Oliver Kici to interpret for a deposition my mother had on December of 2014 Having a professional interpreter made a huge difference on the way the deposition was h... [more]
-Edmond
Interpreter Cost