67800

Removal of chronic growth of eyelid

Medicare pricing data for 4,874 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

Removal of chronic growth of eyelid (HCPCS code 67800) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.41, but hospitals typically charge $327.28 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.88

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $124.41, your out-of-pocket cost would be approximately $24.88. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$124.41
Average Hospital Charge
$327.28
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$327.28
Medicare Allowed$124.41
Medicare Payment$91.15

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $91.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$154$390815+23.5%
District of Columbia$143$3151551+14.7%
New York$140$3862931,089+12.8%
Connecticut$138$35964280+11.3%
California$136$3325492,160+9.5%
Hawaii$136$3481837+9.3%
New Jersey$135$411158552+8.6%
Massachusetts$132$373101480+6.4%
Maryland$130$29294404+4.4%
Colorado$129$28166168+3.9%
New Hampshire$128$3081747+3.3%
Nevada$128$3532975+3.1%
Rhode Island$127$2891258+2.3%
Montana$127$2081656+2.2%
Virginia$127$279131373+1.9%
Washington$125$293102267+0.9%
Vermont$125$298415+0.3%
Maine$124$2721038-0.0%
Texas$124$316322914-0.1%
Delaware$124$2601329-0.4%
Pennsylvania$124$274214736-0.6%
Illinois$123$340181523-1.4%
North Carolina$122$263143502-1.9%
New Mexico$121$2531753-2.7%
Florida$121$2993561,381-3.0%
South Dakota$120$2061755-3.3%
Minnesota$120$37367176-3.3%
Puerto Rico$119$1321123-4.1%
Oklahoma$119$23163160-4.7%
Michigan$119$260165395-4.8%
Utah$117$28165146-5.7%
Kentucky$117$23250119-5.8%
Arizona$117$295106322-6.2%
Kansas$117$27639120-6.2%
Iowa$117$26742120-6.2%
South Carolina$117$30692275-6.3%
Oregon$116$32557123-6.4%
Alabama$116$20173301-6.5%
Idaho$116$2583497-6.7%
Arkansas$116$27537129-6.9%
Missouri$116$31388250-6.9%
West Virginia$116$2781742-7.1%
Mississippi$115$31473213-7.5%
Wisconsin$115$520100213-7.6%
Louisiana$115$25790311-7.9%
Georgia$115$623135478-8.0%
Ohio$114$334157494-8.7%
Nebraska$114$2843378-8.7%
Tennessee$112$288122458-9.8%
North Dakota$109$2431947-12.8%
Indiana$108$44691185-13.3%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber