67810

Biopsy of eyelid

Medicare pricing data for 5,302 providers across 52 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

Biopsy of eyelid (HCPCS code 67810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $168.62, but hospitals typically charge $441.22 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$33.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $168.62, your out-of-pocket cost would be approximately $33.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$168.62
Average Hospital Charge
$441.22
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$441.22
Medicare Allowed$168.62
Medicare Payment$125.57

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $125.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$198$479134670+17.3%
Alaska$198$863818+17.3%
New York$197$4933661,957+17.1%
Connecticut$191$49278330+13.3%
California$191$4376812,436+13.3%
Maryland$187$37876200+10.9%
Rhode Island$186$4721419+10.4%
District of Columbia$186$3711225+10.2%
Puerto Rico$179$193729+6.3%
Maine$175$4081226+4.1%
Wyoming$175$4461328+3.9%
Arizona$172$382155373+1.8%
New Hampshire$172$4252263+1.7%
Montana$171$39725117+1.6%
Illinois$171$522165460+1.5%
Hawaii$170$4051223+0.9%
Nevada$169$40538129+0.1%
Florida$168$3886192,505-0.7%
Virginia$166$440127353-1.8%
Colorado$165$53798259-2.3%
Ohio$164$501111411-2.7%
Washington$163$399107307-3.5%
Georgia$163$424159506-3.6%
Texas$162$4653771,034-3.8%
Kansas$162$36636115-3.9%
Delaware$162$462841-4.0%
Oregon$161$51678242-4.4%
North Carolina$161$368186519-4.7%
Pennsylvania$161$395184655-4.7%
Oklahoma$159$34944280-5.5%
New Mexico$157$33520114-6.8%
Idaho$157$4123279-6.8%
Minnesota$156$55071180-7.6%
Massachusetts$154$531150677-8.9%
Missouri$153$37276185-9.1%
Alabama$152$31053164-9.6%
South Carolina$151$39688341-10.5%
Mississippi$151$57037255-10.5%
Tennessee$150$373117612-11.0%
West Virginia$149$3771920-11.6%
Vermont$148$3721346-12.0%
Michigan$148$403101247-12.4%
Kentucky$146$33369371-13.4%
Indiana$144$44460156-14.3%
Iowa$139$52043154-17.5%
Louisiana$138$50659139-18.1%
Nebraska$136$4663089-19.3%
Arkansas$134$32450175-20.7%
Utah$127$35155136-25.0%
South Dakota$115$1952272-31.8%
Wisconsin$114$85092201-32.3%
North Dakota$112$457712-33.7%

⚠️ 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