Removal of eye fluid
Medicare pricing data for 1,828 providers across 42 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Iowa | $158 | $733 | 13 | 25 | +27.5% |
| Massachusetts | $145 | $402 | 34 | 421 | +17.2% |
| New York | $135 | $416 | 150 | 1,686 | +8.8% |
| Illinois | $129 | $404 | 69 | 780 | +4.2% |
| Hawaii | $129 | $315 | 10 | 16 | +4.1% |
| New Jersey | $129 | $476 | 73 | 435 | +3.9% |
| California | $128 | $341 | 227 | 2,015 | +3.6% |
| Wisconsin | $126 | $1,375 | 20 | 316 | +1.9% |
| Pennsylvania | $125 | $937 | 88 | 972 | +1.3% |
| Maryland | $124 | $258 | 44 | 589 | +0.5% |
| Delaware | $121 | $454 | 2 | 14 | -2.5% |
| Florida | $118 | $268 | 175 | 1,268 | -4.4% |
| Connecticut | $118 | $443 | 38 | 134 | -4.5% |
| Texas | $118 | $401 | 136 | 530 | -4.6% |
| Nevada | $116 | $312 | 17 | 62 | -6.4% |
| Arizona | $115 | $206 | 38 | 197 | -6.9% |
| Colorado | $115 | $306 | 31 | 67 | -7.5% |
| Rhode Island | $114 | $340 | 6 | 25 | -7.7% |
| Oregon | $114 | $253 | 22 | 53 | -7.7% |
| Maine | $114 | $649 | 8 | 13 | -8.0% |
| Georgia | $114 | $383 | 37 | 80 | -8.0% |
| Montana | $113 | $242 | 10 | 23 | -8.5% |
| Washington | $113 | $330 | 35 | 104 | -8.5% |
| Minnesota | $113 | $376 | 14 | 30 | -8.8% |
| Virginia | $111 | $365 | 41 | 130 | -10.0% |
| South Carolina | $111 | $228 | 18 | 90 | -10.7% |
| North Carolina | $110 | $314 | 44 | 116 | -11.2% |
| Kansas | $110 | $400 | 17 | 52 | -11.3% |
| Ohio | $110 | $361 | 70 | 341 | -11.3% |
| Missouri | $109 | $386 | 34 | 117 | -11.5% |
| Utah | $109 | $306 | 15 | 39 | -11.6% |
| Louisiana | $109 | $416 | 27 | 49 | -11.6% |
| Puerto Rico | $109 | $128 | 9 | 39 | -12.0% |
| Michigan | $108 | $327 | 79 | 272 | -12.6% |
| Indiana | $106 | $332 | 27 | 85 | -14.8% |
| Alabama | $105 | $268 | 22 | 73 | -15.3% |
| Arkansas | $104 | $320 | 13 | 49 | -15.9% |
| Oklahoma | $103 | $266 | 25 | 95 | -17.2% |
| Mississippi | $102 | $353 | 15 | 44 | -17.6% |
| Tennessee | $95 | $394 | 40 | 81 | -23.2% |
| Kentucky | $92 | $327 | 11 | 23 | -25.5% |
| North Dakota | $53 | $174 | 4 | 12 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber