65800

Removal of eye fluid

Medicare pricing data for 1,828 providers across 42 states

🤖AI Overview

Prices vary significantly by location — from $53 in North Dakota to $158 in Iowa. Where you get this procedure matters more than almost any other factor. 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 eye fluid (HCPCS code 65800) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $123.78, but hospitals typically charge $429.67 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $123.78, your out-of-pocket cost would be approximately $24.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$123.78
Average Hospital Charge
$429.67
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$429.67
Medicare Allowed$123.78
Medicare Payment$96.80

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $96.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Iowa$158$7331325+27.5%
Massachusetts$145$40234421+17.2%
New York$135$4161501,686+8.8%
Illinois$129$40469780+4.2%
Hawaii$129$3151016+4.1%
New Jersey$129$47673435+3.9%
California$128$3412272,015+3.6%
Wisconsin$126$1,37520316+1.9%
Pennsylvania$125$93788972+1.3%
Maryland$124$25844589+0.5%
Delaware$121$454214-2.5%
Florida$118$2681751,268-4.4%
Connecticut$118$44338134-4.5%
Texas$118$401136530-4.6%
Nevada$116$3121762-6.4%
Arizona$115$20638197-6.9%
Colorado$115$3063167-7.5%
Rhode Island$114$340625-7.7%
Oregon$114$2532253-7.7%
Maine$114$649813-8.0%
Georgia$114$3833780-8.0%
Montana$113$2421023-8.5%
Washington$113$33035104-8.5%
Minnesota$113$3761430-8.8%
Virginia$111$36541130-10.0%
South Carolina$111$2281890-10.7%
North Carolina$110$31444116-11.2%
Kansas$110$4001752-11.3%
Ohio$110$36170341-11.3%
Missouri$109$38634117-11.5%
Utah$109$3061539-11.6%
Louisiana$109$4162749-11.6%
Puerto Rico$109$128939-12.0%
Michigan$108$32779272-12.6%
Indiana$106$3322785-14.8%
Alabama$105$2682273-15.3%
Arkansas$104$3201349-15.9%
Oklahoma$103$2662595-17.2%
Mississippi$102$3531544-17.6%
Tennessee$95$3944081-23.2%
Kentucky$92$3271123-25.5%
North Dakota$53$174412-56.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber