Removal of foreign body from external eye (conjunctiva)
Medicare pricing data for 8,441 providers across 52 states
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
Removal of foreign body from external eye (conjunctiva) (HCPCS code 65205) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.07, but hospitals typically charge $132.82 — a 4.7x 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 $28.07, your out-of-pocket cost would be approximately $5.61. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $19.91 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $34 | $233 | 30 | 62 | +21.6% |
| District of Columbia | $32 | $103 | 9 | 16 | +15.2% |
| Massachusetts | $30 | $164 | 233 | 408 | +8.6% |
| Puerto Rico | $30 | $45 | 13 | 18 | +7.9% |
| Connecticut | $30 | $156 | 88 | 224 | +7.8% |
| Maryland | $30 | $128 | 142 | 268 | +7.7% |
| Washington | $30 | $115 | 155 | 279 | +5.3% |
| Nebraska | $30 | $135 | 89 | 187 | +5.2% |
| New York | $29 | $185 | 450 | 2,510 | +4.9% |
| Colorado | $29 | $107 | 130 | 214 | +2.7% |
| Florida | $29 | $120 | 584 | 1,698 | +2.2% |
| New Jersey | $29 | $141 | 257 | 699 | +2.2% |
| Illinois | $29 | $136 | 308 | 608 | +1.9% |
| Oregon | $29 | $148 | 95 | 156 | +1.8% |
| Arizona | $29 | $112 | 172 | 1,063 | +1.8% |
| Pennsylvania | $29 | $133 | 419 | 777 | +1.6% |
| Virginia | $28 | $118 | 264 | 473 | +1.4% |
| Texas | $28 | $136 | 528 | 969 | +1.3% |
| New Hampshire | $28 | $134 | 61 | 140 | +1.0% |
| Rhode Island | $28 | $120 | 30 | 44 | +0.7% |
| Vermont | $28 | $112 | 25 | 46 | +0.6% |
| Wyoming | $28 | $90 | 26 | 48 | +0.5% |
| Montana | $28 | $126 | 43 | 115 | +0.3% |
| Georgia | $28 | $185 | 218 | 527 | -0.3% |
| Michigan | $28 | $121 | 232 | 333 | -0.3% |
| Minnesota | $28 | $146 | 156 | 251 | -0.7% |
| Maine | $28 | $95 | 43 | 62 | -1.1% |
| North Dakota | $28 | $122 | 48 | 72 | -1.1% |
| Ohio | $28 | $136 | 252 | 401 | -1.2% |
| Utah | $28 | $105 | 57 | 101 | -1.5% |
| Delaware | $28 | $104 | 31 | 56 | -1.5% |
| New Mexico | $27 | $118 | 45 | 68 | -2.1% |
| Wisconsin | $27 | $224 | 165 | 252 | -2.1% |
| Missouri | $27 | $109 | 163 | 298 | -2.4% |
| Iowa | $27 | $133 | 157 | 340 | -2.5% |
| North Carolina | $27 | $140 | 299 | 523 | -2.5% |
| Nevada | $27 | $96 | 43 | 65 | -2.8% |
| South Carolina | $27 | $138 | 134 | 261 | -2.9% |
| South Dakota | $27 | $91 | 63 | 109 | -2.9% |
| Kentucky | $27 | $122 | 96 | 158 | -3.0% |
| Louisiana | $27 | $133 | 115 | 211 | -3.1% |
| West Virginia | $27 | $114 | 46 | 70 | -3.2% |
| Oklahoma | $27 | $101 | 107 | 174 | -3.4% |
| Kansas | $27 | $108 | 128 | 245 | -4.1% |
| Tennessee | $27 | $112 | 224 | 403 | -4.8% |
| California | $27 | $98 | 691 | 3,004 | -4.9% |
| Alabama | $27 | $96 | 132 | 239 | -5.4% |
| Mississippi | $26 | $137 | 118 | 219 | -5.6% |
| Arkansas | $26 | $145 | 102 | 235 | -5.9% |
| Hawaii | $26 | $107 | 51 | 128 | -6.2% |
| Idaho | $26 | $120 | 60 | 89 | -8.1% |
| Indiana | $24 | $115 | 168 | 337 | -14.1% |
⚠️ 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