Near infrared dual imaging of tear glands with interpretation and report
Medicare pricing data for 289 providers across 23 states
Prices vary significantly by location — from $11 in Indiana to $33 in Alaska. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Near infrared dual imaging of tear glands with interpretation and report (HCPCS code 0507T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.69, but hospitals typically charge $82.67 — a 3.5x 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 $23.69, your out-of-pocket cost would be approximately $4.74. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $17.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $33 | $112 | 5 | 169 | +41.1% |
| California | $33 | $139 | 15 | 589 | +38.0% |
| Massachusetts | $32 | $153 | 8 | 32 | +33.1% |
| Montana | $30 | $33 | 3 | 35 | +27.3% |
| Illinois | $30 | $62 | 16 | 76 | +24.8% |
| Washington | $29 | $45 | 17 | 304 | +23.9% |
| Minnesota | $29 | $48 | 11 | 70 | +23.6% |
| South Dakota | $29 | $38 | 6 | 29 | +22.2% |
| New York | $29 | $156 | 26 | 1,873 | +21.6% |
| Arizona | $28 | $49 | 10 | 159 | +19.0% |
| Wisconsin | $28 | $54 | 3 | 12 | +18.4% |
| Nevada | $28 | $42 | 3 | 11 | +17.6% |
| Rhode Island | $28 | $75 | 3 | 27 | +17.3% |
| Oregon | $27 | $40 | 7 | 122 | +14.0% |
| New Jersey | $27 | $42 | 8 | 152 | +12.2% |
| Virginia | $24 | $100 | 10 | 97 | +1.9% |
| Maryland | $24 | $64 | 4 | 20 | -0.2% |
| Colorado | $23 | $74 | 12 | 41 | -5.0% |
| Florida | $22 | $89 | 26 | 371 | -6.2% |
| Pennsylvania | $21 | $64 | 22 | 165 | -12.6% |
| Texas | $19 | $48 | 47 | 3,238 | -19.3% |
| Puerto Rico | $19 | $23 | 1 | 12 | -19.8% |
| Indiana | $11 | $25 | 1 | 455 | -53.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber