Incision and drainage of abscess of eyelid
Medicare pricing data for 1,744 providers across 42 states
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
Incision and drainage of abscess of eyelid (HCPCS code 67700) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $285.84, but hospitals typically charge $588.49 — a 2.1x 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 $285.84, your out-of-pocket cost would be approximately $57.17. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $221.59 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $344 | $738 | 158 | 1,780 | +20.2% |
| New Jersey | $315 | $601 | 74 | 216 | +10.0% |
| Washington | $311 | $771 | 36 | 108 | +8.8% |
| Maryland | $311 | $661 | 35 | 151 | +8.6% |
| Connecticut | $306 | $523 | 30 | 91 | +7.1% |
| Puerto Rico | $306 | $450 | 8 | 26 | +7.1% |
| Pennsylvania | $305 | $522 | 70 | 172 | +6.6% |
| Colorado | $299 | $561 | 41 | 107 | +4.5% |
| Delaware | $293 | $668 | 7 | 46 | +2.5% |
| Massachusetts | $293 | $628 | 36 | 59 | +2.5% |
| Rhode Island | $289 | $689 | 7 | 27 | +1.1% |
| Virginia | $285 | $552 | 36 | 114 | -0.4% |
| Illinois | $282 | $632 | 61 | 172 | -1.3% |
| Oregon | $281 | $530 | 16 | 33 | -1.7% |
| South Dakota | $281 | $710 | 6 | 13 | -1.8% |
| Minnesota | $275 | $862 | 12 | 18 | -3.8% |
| Texas | $275 | $547 | 113 | 293 | -3.8% |
| Michigan | $275 | $503 | 60 | 128 | -4.0% |
| Nevada | $273 | $713 | 11 | 27 | -4.4% |
| North Carolina | $271 | $530 | 33 | 47 | -5.1% |
| Arizona | $268 | $491 | 45 | 126 | -6.1% |
| Georgia | $268 | $656 | 45 | 78 | -6.3% |
| Iowa | $268 | $488 | 11 | 27 | -6.4% |
| California | $267 | $530 | 216 | 2,280 | -6.6% |
| Florida | $262 | $534 | 148 | 1,643 | -8.4% |
| Alabama | $262 | $416 | 11 | 24 | -8.5% |
| Indiana | $259 | $627 | 22 | 31 | -9.3% |
| Tennessee | $259 | $502 | 30 | 129 | -9.4% |
| South Carolina | $257 | $528 | 29 | 66 | -10.1% |
| Wisconsin | $257 | $1,349 | 20 | 29 | -10.2% |
| Louisiana | $255 | $567 | 38 | 63 | -10.6% |
| Kansas | $255 | $576 | 13 | 16 | -11.0% |
| Oklahoma | $254 | $477 | 29 | 60 | -11.3% |
| Utah | $251 | $491 | 18 | 32 | -12.3% |
| Kentucky | $250 | $413 | 20 | 49 | -12.6% |
| Mississippi | $249 | $649 | 24 | 54 | -13.1% |
| Missouri | $246 | $426 | 32 | 49 | -13.9% |
| Ohio | $244 | $544 | 36 | 73 | -14.5% |
| Arkansas | $243 | $498 | 22 | 56 | -14.9% |
| West Virginia | $226 | $517 | 10 | 16 | -21.0% |
| Idaho | $226 | $494 | 12 | 18 | -21.0% |
| New Hampshire | $193 | $312 | 9 | 18 | -32.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber