Placement of amniotic membrane on eye surface for wound healing
Medicare pricing data for 6,350 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
Placement of amniotic membrane on eye surface for wound healing (HCPCS code 65778) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,327, but hospitals typically charge $2,432 — a 1.8x 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 $1,327, your out-of-pocket cost would be approximately $265.36. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $1,052 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $1,532 | $2,332 | 196 | 1,664 | +15.5% |
| New York | $1,529 | $2,599 | 366 | 3,928 | +15.3% |
| Maryland | $1,527 | $2,727 | 116 | 914 | +15.1% |
| Alaska | $1,512 | $3,599 | 32 | 209 | +13.9% |
| Connecticut | $1,510 | $2,902 | 67 | 572 | +13.8% |
| Hawaii | $1,508 | $3,300 | 15 | 403 | +13.7% |
| California | $1,496 | $2,642 | 570 | 9,702 | +12.7% |
| Washington | $1,442 | $2,617 | 132 | 820 | +8.7% |
| New Hampshire | $1,390 | $3,053 | 19 | 78 | +4.7% |
| District of Columbia | $1,389 | $2,817 | 6 | 18 | +4.7% |
| Minnesota | $1,360 | $2,743 | 66 | 233 | +2.5% |
| Illinois | $1,327 | $2,532 | 209 | 1,477 | +0.0% |
| Virginia | $1,325 | $2,698 | 151 | 1,431 | -0.1% |
| Montana | $1,322 | $2,163 | 26 | 81 | -0.3% |
| South Dakota | $1,319 | $2,853 | 31 | 153 | -0.6% |
| Nevada | $1,319 | $3,664 | 63 | 1,268 | -0.6% |
| Rhode Island | $1,313 | $2,655 | 16 | 60 | -1.0% |
| Wyoming | $1,313 | $1,615 | 19 | 72 | -1.1% |
| Vermont | $1,303 | $2,161 | 11 | 23 | -1.8% |
| Texas | $1,302 | $2,610 | 669 | 8,435 | -1.9% |
| North Dakota | $1,289 | $2,988 | 24 | 83 | -2.9% |
| Delaware | $1,286 | $2,937 | 18 | 67 | -3.1% |
| Colorado | $1,286 | $2,058 | 93 | 543 | -3.1% |
| Florida | $1,280 | $2,580 | 389 | 3,158 | -3.5% |
| Massachusetts | $1,278 | $2,743 | 103 | 425 | -3.7% |
| Arizona | $1,271 | $2,035 | 162 | 2,932 | -4.2% |
| Pennsylvania | $1,263 | $2,085 | 298 | 2,712 | -4.8% |
| Georgia | $1,253 | $2,524 | 159 | 1,135 | -5.5% |
| Michigan | $1,238 | $1,934 | 187 | 1,940 | -6.7% |
| Wisconsin | $1,236 | $4,192 | 65 | 308 | -6.8% |
| Utah | $1,235 | $2,197 | 64 | 442 | -6.9% |
| North Carolina | $1,230 | $2,420 | 176 | 890 | -7.3% |
| Missouri | $1,229 | $2,540 | 120 | 769 | -7.3% |
| New Mexico | $1,228 | $2,360 | 26 | 91 | -7.4% |
| Nebraska | $1,222 | $2,327 | 43 | 172 | -7.9% |
| Indiana | $1,219 | $2,344 | 162 | 1,085 | -8.2% |
| Ohio | $1,218 | $2,049 | 189 | 1,908 | -8.2% |
| Idaho | $1,212 | $2,523 | 49 | 146 | -8.7% |
| Kansas | $1,209 | $2,135 | 104 | 635 | -8.9% |
| South Carolina | $1,203 | $2,109 | 87 | 674 | -9.3% |
| Tennessee | $1,190 | $1,671 | 165 | 3,112 | -10.3% |
| Oregon | $1,184 | $2,742 | 84 | 252 | -10.8% |
| Oklahoma | $1,175 | $1,833 | 129 | 1,286 | -11.5% |
| Kentucky | $1,167 | $1,719 | 88 | 590 | -12.0% |
| Arkansas | $1,166 | $2,120 | 49 | 174 | -12.1% |
| Louisiana | $1,161 | $2,247 | 94 | 743 | -12.5% |
| Maine | $1,158 | $1,935 | 14 | 38 | -12.7% |
| West Virginia | $1,153 | $1,776 | 40 | 150 | -13.1% |
| Alabama | $1,151 | $1,976 | 97 | 988 | -13.3% |
| Mississippi | $1,126 | $2,183 | 92 | 654 | -15.1% |
| Iowa | $1,121 | $2,668 | 87 | 267 | -15.5% |
⚠️ 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