Removal of foreign body from external eye (conjunctiva or sclera)
Medicare pricing data for 4,683 providers across 51 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 or sclera) (HCPCS code 65210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.56, but hospitals typically charge $153.33 — a 4.0x 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 $38.56, your out-of-pocket cost would be approximately $7.71. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $28.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Ohio | $49 | $71 | 140 | 1,056 | +26.9% |
| Alaska | $47 | $295 | 10 | 19 | +22.9% |
| District of Columbia | $43 | $221 | 10 | 15 | +11.8% |
| New York | $42 | $203 | 310 | 908 | +10.0% |
| New Jersey | $41 | $191 | 170 | 379 | +7.4% |
| Maryland | $41 | $144 | 96 | 259 | +6.9% |
| California | $41 | $183 | 480 | 3,023 | +6.5% |
| Connecticut | $41 | $235 | 59 | 105 | +6.4% |
| Massachusetts | $41 | $214 | 90 | 179 | +5.8% |
| Washington | $40 | $146 | 94 | 169 | +4.4% |
| New Hampshire | $40 | $146 | 32 | 46 | +3.3% |
| Illinois | $40 | $169 | 145 | 272 | +2.6% |
| Delaware | $39 | $195 | 21 | 70 | +1.7% |
| Montana | $39 | $120 | 32 | 53 | +0.9% |
| Colorado | $39 | $148 | 65 | 94 | +0.5% |
| Pennsylvania | $39 | $164 | 186 | 365 | +0.2% |
| Maine | $39 | $167 | 26 | 36 | +0.2% |
| Minnesota | $38 | $164 | 72 | 96 | -0.4% |
| South Dakota | $38 | $117 | 29 | 64 | -0.7% |
| Vermont | $38 | $170 | 21 | 39 | -1.5% |
| Oregon | $38 | $135 | 66 | 122 | -1.5% |
| Texas | $38 | $149 | 258 | 451 | -1.7% |
| North Dakota | $38 | $162 | 21 | 27 | -1.8% |
| Virginia | $38 | $145 | 119 | 257 | -1.8% |
| Wyoming | $38 | $117 | 20 | 36 | -2.3% |
| Arizona | $38 | $126 | 79 | 176 | -2.7% |
| Idaho | $37 | $145 | 31 | 65 | -3.0% |
| New Mexico | $37 | $117 | 18 | 27 | -3.2% |
| Hawaii | $37 | $136 | 35 | 55 | -3.2% |
| Rhode Island | $37 | $163 | 16 | 28 | -3.3% |
| Michigan | $37 | $182 | 111 | 201 | -3.6% |
| Nevada | $37 | $165 | 19 | 43 | -3.7% |
| South Carolina | $37 | $151 | 65 | 127 | -4.3% |
| North Carolina | $37 | $144 | 132 | 205 | -4.5% |
| Georgia | $37 | $159 | 122 | 291 | -4.6% |
| Missouri | $37 | $148 | 100 | 167 | -4.7% |
| Wisconsin | $37 | $281 | 75 | 124 | -5.2% |
| Louisiana | $36 | $156 | 93 | 150 | -5.4% |
| Nebraska | $36 | $144 | 48 | 90 | -5.6% |
| Oklahoma | $36 | $139 | 67 | 107 | -5.8% |
| Arkansas | $36 | $133 | 66 | 169 | -5.8% |
| West Virginia | $36 | $138 | 21 | 37 | -5.9% |
| Kentucky | $36 | $109 | 70 | 103 | -6.3% |
| Utah | $36 | $133 | 53 | 99 | -6.6% |
| Kansas | $36 | $151 | 83 | 154 | -6.7% |
| Iowa | $36 | $144 | 102 | 189 | -6.8% |
| Indiana | $36 | $153 | 85 | 131 | -6.9% |
| Alabama | $36 | $110 | 89 | 164 | -7.6% |
| Mississippi | $35 | $149 | 70 | 175 | -8.2% |
| Tennessee | $35 | $117 | 90 | 155 | -8.9% |
| Florida | $30 | $122 | 362 | 2,126 | -21.8% |
⚠️ 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