Injection of medication into eye
Medicare pricing data for 1,033 providers across 43 states
Prices vary significantly by location — from $150 in Kansas to $678 in Hawaii. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Injection of medication into eye (HCPCS code 66030) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $181.06, but hospitals typically charge $449.93 — a 2.5x 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 $181.06, your out-of-pocket cost would be approximately $36.21. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $139.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $678 | $1,328 | 4 | 129 | +274.2% |
| Arkansas | $572 | $783 | 17 | 91 | +216.0% |
| Alaska | $231 | $1,044 | 3 | 17 | +27.5% |
| Connecticut | $223 | $496 | 15 | 145 | +23.0% |
| Nevada | $210 | $656 | 6 | 27 | +16.2% |
| District of Columbia | $208 | $1,339 | 6 | 59 | +14.8% |
| Maryland | $206 | $664 | 28 | 207 | +13.8% |
| New York | $201 | $550 | 89 | 414 | +11.0% |
| Massachusetts | $199 | $464 | 51 | 539 | +10.1% |
| New Jersey | $199 | $448 | 42 | 231 | +10.1% |
| California | $199 | $415 | 95 | 860 | +9.9% |
| Minnesota | $199 | $593 | 5 | 43 | +9.8% |
| North Dakota | $196 | $468 | 7 | 32 | +8.4% |
| Rhode Island | $184 | $431 | 3 | 32 | +1.8% |
| Illinois | $184 | $401 | 35 | 218 | +1.5% |
| Oregon | $182 | $462 | 10 | 61 | +0.4% |
| New Hampshire | $179 | $484 | 3 | 23 | -1.0% |
| Virginia | $176 | $406 | 38 | 374 | -2.5% |
| Wisconsin | $176 | $981 | 13 | 47 | -2.6% |
| Texas | $176 | $510 | 83 | 491 | -2.9% |
| Pennsylvania | $175 | $480 | 48 | 563 | -3.2% |
| Colorado | $174 | $352 | 16 | 95 | -4.1% |
| Michigan | $173 | $374 | 20 | 105 | -4.3% |
| Georgia | $173 | $542 | 31 | 305 | -4.4% |
| Arizona | $173 | $351 | 16 | 114 | -4.5% |
| Florida | $172 | $340 | 108 | 1,233 | -4.8% |
| South Dakota | $169 | $614 | 5 | 66 | -6.7% |
| North Carolina | $169 | $450 | 22 | 139 | -6.8% |
| Missouri | $168 | $539 | 17 | 78 | -7.2% |
| Nebraska | $167 | $457 | 8 | 47 | -7.9% |
| Montana | $166 | $566 | 2 | 17 | -8.4% |
| New Mexico | $165 | $277 | 5 | 40 | -9.1% |
| Indiana | $164 | $421 | 29 | 131 | -9.3% |
| Ohio | $164 | $406 | 19 | 80 | -9.4% |
| Tennessee | $164 | $351 | 23 | 235 | -9.7% |
| Maine | $163 | $283 | 8 | 39 | -9.8% |
| Oklahoma | $163 | $432 | 13 | 75 | -9.9% |
| Louisiana | $160 | $375 | 15 | 58 | -11.9% |
| Kentucky | $159 | $562 | 11 | 42 | -12.0% |
| Alabama | $158 | $332 | 21 | 155 | -12.7% |
| Mississippi | $157 | $533 | 10 | 70 | -13.1% |
| South Carolina | $152 | $396 | 20 | 223 | -15.9% |
| Kansas | $150 | $555 | 7 | 35 | -17.2% |
⚠️ 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