66761

Creation of eye fluid drainage tracts in iris using a laser, per session

Medicare pricing data for 7,530 providers across 51 states

🤖AI Overview

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

Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS code 66761) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $270.84, but hospitals typically charge $1,145 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$54.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $270.84, your out-of-pocket cost would be approximately $54.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$270.84
Average Hospital Charge
$1,145
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,145.26
Medicare Allowed$270.84
Medicare Payment$207.86

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $207.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$379$3,1621365+40.1%
District of Columbia$336$1,1311967+24.1%
New York$318$1,6076766,573+17.2%
New Mexico$317$7401958+17.1%
Rhode Island$314$1,0901679+15.9%
California$312$1,0849686,983+15.0%
Connecticut$309$1,436103532+14.2%
Puerto Rico$294$3922658+8.6%
New Jersey$294$1,7073103,003+8.5%
Maryland$291$8351851,724+7.4%
Iowa$284$90647163+4.8%
Illinois$282$1,3882842,045+4.1%
Hawaii$280$94655547+3.3%
Wisconsin$275$2,505128621+1.4%
Virginia$274$8161701,147+1.2%
North Dakota$274$1,3111143+1.1%
Washington$267$733157632-1.5%
Vermont$265$91214128-2.0%
Nevada$265$87042313-2.1%
Pennsylvania$264$1,1174443,846-2.4%
Massachusetts$264$1,1272692,670-2.6%
Texas$260$1,1464242,152-3.9%
Colorado$260$97982264-4.0%
New Hampshire$257$1,15840393-5.2%
Michigan$256$850202921-5.5%
Florida$254$8586655,150-6.3%
Montana$253$8722099-6.5%
Kentucky$251$84282304-7.4%
West Virginia$251$84237254-7.4%
Georgia$248$1,1361931,109-8.3%
Minnesota$248$1,26296292-8.3%
Oklahoma$244$82364133-10.0%
South Carolina$240$78790482-11.2%
Delaware$239$1,10924253-11.6%
Missouri$239$1,646125598-11.7%
Alabama$239$83743208-11.8%
Utah$238$7233058-12.0%
Louisiana$235$1,14159186-13.4%
Oregon$230$860101379-15.0%
Mississippi$229$1,3563698-15.5%
Arkansas$229$90767232-15.6%
Ohio$225$9792952,171-16.8%
Indiana$225$1,005133671-17.0%
Arizona$224$8141522,039-17.2%
Kansas$221$1,20770558-18.4%
Maine$216$1,04034213-20.2%
Nebraska$212$96950359-21.9%
Tennessee$206$864123567-23.9%
Idaho$203$62526118-24.9%
South Dakota$197$1,0901433-27.4%
North Carolina$196$6781721,599-27.5%

⚠️ 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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