66174

Dilation of fluid outflow drainage within eye

Medicare pricing data for 2,785 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $467 in West Virginia to $1,195 in South Carolina. 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

Dilation of fluid outflow drainage within eye (HCPCS code 66174) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $933.11, but hospitals typically charge $4,129 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$186.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $933.11, your out-of-pocket cost would be approximately $186.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$933.11
Average Hospital Charge
$4,129
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,128.70
Medicare Allowed$933.11
Medicare Payment$741.30

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $741.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
South Carolina$1,195$4,25941476+28.1%
Connecticut$1,166$6,52530148+25.0%
Arkansas$1,148$2,51214514+23.0%
Hawaii$1,145$3,64131514+22.8%
Illinois$1,142$4,751831,153+22.4%
Iowa$1,135$5,34222239+21.6%
Washington$1,109$3,31456510+18.9%
New York$1,109$4,4191131,191+18.9%
New Mexico$1,097$2,718644+17.6%
Nebraska$1,094$4,68712100+17.2%
Virginia$1,068$3,87141734+14.5%
Wisconsin$1,049$5,85628314+12.4%
Arizona$1,039$3,293571,490+11.4%
California$1,038$5,4164287,422+11.3%
New Jersey$1,034$6,324911,801+10.8%
Massachusetts$1,030$4,33157531+10.4%
South Dakota$1,014$3,60511239+8.7%
Oregon$1,013$3,33835214+8.5%
Oklahoma$1,002$4,97944796+7.3%
Kansas$1,000$2,60223441+7.2%
Florida$965$3,2752203,791+3.4%
Maryland$964$3,304761,647+3.3%
Minnesota$963$3,88531266+3.2%
Nevada$951$4,12825419+1.9%
Idaho$922$2,39922254-1.2%
North Dakota$912$4,415553-2.2%
Colorado$892$3,12055593-4.4%
Montana$860$3,5489150-7.8%
Texas$857$5,9531822,360-8.2%
Mississippi$856$3,17444600-8.2%
Pennsylvania$854$3,5851151,825-8.5%
Indiana$850$6,16738491-8.9%
New Hampshire$844$4,973346-9.6%
Ohio$823$3,923811,184-11.8%
Michigan$814$2,85586841-12.8%
North Carolina$782$2,73358440-16.2%
Missouri$778$3,81071657-16.6%
Utah$766$4,71040492-17.9%
Kentucky$759$3,04143540-18.7%
Louisiana$753$3,05054779-19.3%
Alabama$676$1,82326836-27.5%
Maine$671$1,983459-28.1%
Delaware$670$3,7583199-28.1%
Georgia$655$2,86871984-29.8%
Tennessee$645$2,699781,473-30.9%
Rhode Island$565$2,1649175-39.5%
District of Columbia$531$1,9241165-43.1%
West Virginia$467$1,614534-50.0%

⚠️ 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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