Injection of drug or substance into membrane covering eyeball
Medicare pricing data for 2,663 providers across 48 states
This procedure has a 5.0x markup — hospitals charge $240.38 but Medicare allows only $47.85. Uninsured patients may face bills 5.0 times higher than what insurance negotiates. 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 drug or substance into membrane covering eyeball (HCPCS code 67515) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.85, but hospitals typically charge $240.38 — a 5.0x 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 $47.85, your out-of-pocket cost would be approximately $9.57. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $36.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $59 | $211 | 5 | 30 | +22.5% |
| New Hampshire | $56 | $274 | 5 | 34 | +17.6% |
| New York | $54 | $249 | 131 | 836 | +13.0% |
| New Jersey | $54 | $312 | 73 | 370 | +12.9% |
| Massachusetts | $54 | $271 | 68 | 348 | +12.7% |
| Connecticut | $53 | $337 | 29 | 176 | +10.0% |
| Washington | $52 | $209 | 54 | 232 | +8.2% |
| Rhode Island | $52 | $228 | 7 | 34 | +8.2% |
| Delaware | $52 | $90 | 4 | 14 | +7.9% |
| New Mexico | $52 | $167 | 15 | 34 | +7.8% |
| Montana | $52 | $156 | 11 | 55 | +7.7% |
| Illinois | $51 | $202 | 87 | 508 | +6.6% |
| Minnesota | $51 | $344 | 59 | 420 | +6.0% |
| South Dakota | $51 | $130 | 11 | 53 | +5.7% |
| Maine | $51 | $190 | 7 | 21 | +5.7% |
| Pennsylvania | $50 | $325 | 117 | 932 | +4.8% |
| Kentucky | $50 | $166 | 25 | 149 | +4.5% |
| West Virginia | $50 | $176 | 6 | 55 | +4.3% |
| South Carolina | $50 | $157 | 36 | 336 | +3.9% |
| Nevada | $50 | $177 | 15 | 77 | +3.7% |
| Michigan | $49 | $197 | 84 | 436 | +3.1% |
| Puerto Rico | $49 | $60 | 7 | 44 | +3.0% |
| Alabama | $49 | $142 | 36 | 252 | +2.4% |
| Ohio | $49 | $217 | 108 | 701 | +2.2% |
| Virginia | $49 | $218 | 69 | 482 | +1.8% |
| Louisiana | $49 | $208 | 50 | 261 | +1.7% |
| Georgia | $48 | $391 | 59 | 344 | +1.2% |
| North Carolina | $48 | $181 | 97 | 635 | +1.2% |
| Florida | $48 | $189 | 238 | 1,824 | +1.1% |
| Wisconsin | $48 | $594 | 53 | 204 | +0.5% |
| Indiana | $48 | $178 | 36 | 319 | +0.4% |
| Idaho | $48 | $232 | 11 | 73 | +0.1% |
| Kansas | $48 | $208 | 24 | 201 | -0.6% |
| Hawaii | $48 | $154 | 11 | 157 | -0.6% |
| Arizona | $48 | $325 | 63 | 452 | -0.7% |
| California | $47 | $225 | 283 | 2,851 | -0.9% |
| Maryland | $47 | $182 | 70 | 492 | -1.1% |
| Arkansas | $47 | $222 | 25 | 206 | -1.4% |
| Iowa | $47 | $233 | 19 | 123 | -1.6% |
| Nebraska | $46 | $223 | 11 | 33 | -3.8% |
| Texas | $45 | $294 | 173 | 969 | -5.4% |
| Tennessee | $45 | $379 | 72 | 579 | -6.4% |
| Mississippi | $44 | $182 | 30 | 336 | -7.8% |
| Utah | $44 | $197 | 31 | 224 | -7.9% |
| Missouri | $44 | $186 | 57 | 365 | -8.5% |
| Oklahoma | $42 | $187 | 18 | 212 | -11.5% |
| Oregon | $38 | $305 | 49 | 280 | -19.7% |
| Colorado | $36 | $233 | 65 | 718 | -24.2% |
⚠️ 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