Transplantation of outer layer of corneal tissue
Medicare pricing data for 2,134 providers across 50 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
Transplantation of outer layer of corneal tissue (HCPCS code 65756) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,383, but hospitals typically charge $5,057 — a 3.7x 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 $1,383, your out-of-pocket cost would be approximately $276.67. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $1,098 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,722 | $8,258 | 8 | 20 | +24.5% |
| New Jersey | $1,704 | $5,169 | 49 | 398 | +23.1% |
| Vermont | $1,658 | $4,883 | 2 | 16 | +19.8% |
| Nevada | $1,582 | $5,589 | 14 | 143 | +14.3% |
| Washington | $1,576 | $4,051 | 55 | 504 | +13.9% |
| California | $1,520 | $6,212 | 206 | 1,456 | +9.9% |
| Maine | $1,515 | $3,423 | 9 | 71 | +9.5% |
| Arizona | $1,492 | $3,394 | 41 | 585 | +7.9% |
| Nebraska | $1,477 | $4,773 | 15 | 344 | +6.8% |
| Hawaii | $1,473 | $4,595 | 7 | 30 | +6.5% |
| Montana | $1,457 | $4,003 | 9 | 141 | +5.3% |
| Colorado | $1,454 | $4,785 | 36 | 248 | +5.1% |
| Maryland | $1,453 | $4,728 | 52 | 606 | +5.0% |
| North Dakota | $1,430 | $5,005 | 8 | 146 | +3.4% |
| Florida | $1,429 | $4,329 | 206 | 1,826 | +3.3% |
| South Carolina | $1,423 | $4,482 | 32 | 558 | +2.9% |
| Illinois | $1,421 | $5,213 | 78 | 671 | +2.7% |
| Kansas | $1,420 | $4,765 | 20 | 481 | +2.6% |
| Idaho | $1,416 | $2,864 | 8 | 61 | +2.3% |
| Pennsylvania | $1,412 | $3,954 | 104 | 962 | +2.0% |
| Georgia | $1,411 | $5,028 | 60 | 706 | +2.0% |
| Tennessee | $1,406 | $4,447 | 41 | 611 | +1.6% |
| Connecticut | $1,395 | $5,520 | 31 | 140 | +0.9% |
| New York | $1,387 | $5,165 | 117 | 907 | +0.2% |
| Virginia | $1,383 | $3,864 | 47 | 691 | -0.0% |
| Oklahoma | $1,380 | $5,840 | 22 | 372 | -0.2% |
| Texas | $1,379 | $11,954 | 157 | 1,666 | -0.3% |
| New Hampshire | $1,374 | $7,623 | 9 | 67 | -0.7% |
| Utah | $1,374 | $5,671 | 27 | 205 | -0.7% |
| Massachusetts | $1,367 | $3,376 | 80 | 575 | -1.2% |
| South Dakota | $1,340 | $4,414 | 11 | 328 | -3.1% |
| Kentucky | $1,337 | $3,488 | 15 | 213 | -3.3% |
| Louisiana | $1,335 | $3,108 | 23 | 354 | -3.5% |
| Missouri | $1,332 | $4,159 | 65 | 419 | -3.7% |
| Iowa | $1,322 | $5,631 | 23 | 366 | -4.5% |
| Mississippi | $1,311 | $3,012 | 10 | 135 | -5.3% |
| Indiana | $1,302 | $3,500 | 27 | 909 | -5.8% |
| Oregon | $1,291 | $3,268 | 35 | 343 | -6.7% |
| Ohio | $1,286 | $4,712 | 77 | 701 | -7.1% |
| Wisconsin | $1,277 | $6,724 | 42 | 417 | -7.7% |
| Delaware | $1,270 | $3,216 | 7 | 96 | -8.2% |
| Minnesota | $1,241 | $4,218 | 38 | 534 | -10.3% |
| Michigan | $1,228 | $4,222 | 49 | 458 | -11.3% |
| North Carolina | $1,196 | $3,419 | 66 | 694 | -13.5% |
| Arkansas | $1,191 | $2,975 | 8 | 94 | -13.9% |
| Alabama | $1,157 | $3,492 | 24 | 378 | -16.4% |
| Rhode Island | $1,143 | $2,737 | 3 | 23 | -17.4% |
| West Virginia | $1,136 | $2,884 | 7 | 70 | -17.9% |
| New Mexico | $980 | $2,125 | 6 | 52 | -29.1% |
| Puerto Rico | $932 | $2,076 | 8 | 17 | -32.6% |
⚠️ 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