Laser repair to improve eye fluid flow
Medicare pricing data for 8,161 providers across 52 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
Laser repair to improve eye fluid flow (HCPCS code 65855) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $215.06, but hospitals typically charge $1,022 — a 4.8x 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 $215.06, your out-of-pocket cost would be approximately $43.01. 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 4.8x more than what Medicare allows for this procedure. Medicare actually pays $163.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $297 | $2,466 | 27 | 243 | +38.2% |
| District of Columbia | $272 | $1,141 | 28 | 641 | +26.7% |
| Connecticut | $266 | $1,439 | 95 | 1,386 | +23.8% |
| California | $247 | $956 | 886 | 18,794 | +14.7% |
| Puerto Rico | $242 | $287 | 28 | 110 | +12.6% |
| New York | $238 | $1,215 | 527 | 8,520 | +10.7% |
| Rhode Island | $236 | $847 | 26 | 338 | +9.7% |
| New Jersey | $234 | $1,436 | 276 | 6,067 | +8.9% |
| Vermont | $233 | $916 | 16 | 216 | +8.3% |
| Maryland | $231 | $688 | 174 | 3,866 | +7.5% |
| New Hampshire | $231 | $1,619 | 41 | 1,250 | +7.4% |
| Wyoming | $228 | $1,542 | 24 | 443 | +5.9% |
| Virginia | $225 | $799 | 210 | 5,615 | +4.5% |
| Illinois | $225 | $1,235 | 280 | 5,640 | +4.4% |
| Michigan | $220 | $865 | 285 | 4,230 | +2.4% |
| Pennsylvania | $218 | $1,163 | 435 | 8,869 | +1.6% |
| North Carolina | $218 | $961 | 172 | 3,929 | +1.3% |
| Wisconsin | $217 | $2,661 | 139 | 2,116 | +1.1% |
| Kentucky | $217 | $833 | 116 | 1,345 | +0.9% |
| Iowa | $217 | $961 | 56 | 777 | +0.7% |
| West Virginia | $215 | $799 | 39 | 709 | +0.0% |
| Utah | $215 | $875 | 82 | 1,054 | -0.1% |
| Washington | $213 | $726 | 186 | 3,510 | -0.9% |
| Massachusetts | $213 | $1,148 | 260 | 6,633 | -1.0% |
| Oklahoma | $213 | $664 | 140 | 2,266 | -1.1% |
| South Carolina | $212 | $1,049 | 123 | 2,753 | -1.5% |
| Hawaii | $211 | $889 | 46 | 867 | -1.8% |
| Texas | $209 | $1,037 | 513 | 8,748 | -2.6% |
| Florida | $209 | $806 | 602 | 15,619 | -2.7% |
| Colorado | $206 | $933 | 142 | 2,157 | -4.0% |
| Missouri | $205 | $1,322 | 134 | 2,248 | -4.9% |
| South Dakota | $204 | $713 | 23 | 681 | -5.2% |
| Oregon | $204 | $905 | 123 | 1,401 | -5.4% |
| Minnesota | $200 | $1,103 | 147 | 2,196 | -6.8% |
| Montana | $198 | $696 | 39 | 711 | -7.7% |
| New Mexico | $198 | $597 | 26 | 600 | -7.7% |
| Louisiana | $198 | $1,010 | 136 | 1,855 | -8.1% |
| Alabama | $197 | $858 | 97 | 1,837 | -8.4% |
| Georgia | $193 | $1,062 | 206 | 4,352 | -10.1% |
| Nevada | $193 | $758 | 41 | 1,526 | -10.1% |
| Delaware | $193 | $1,344 | 23 | 653 | -10.2% |
| Maine | $188 | $863 | 34 | 323 | -12.5% |
| Kansas | $188 | $1,377 | 73 | 2,310 | -12.7% |
| Indiana | $188 | $973 | 194 | 3,759 | -12.7% |
| Arizona | $185 | $877 | 158 | 5,275 | -14.0% |
| Ohio | $185 | $898 | 293 | 5,443 | -14.1% |
| Nebraska | $184 | $909 | 56 | 1,242 | -14.5% |
| North Dakota | $184 | $965 | 27 | 318 | -14.6% |
| Arkansas | $179 | $890 | 79 | 1,764 | -16.9% |
| Tennessee | $177 | $881 | 159 | 2,418 | -17.7% |
| Mississippi | $175 | $1,156 | 74 | 1,627 | -18.5% |
| Idaho | $161 | $541 | 40 | 815 | -25.3% |
⚠️ 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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