67840

Removal of growth of eyelid

Medicare pricing data for 7,121 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

Removal of growth of eyelid (HCPCS code 67840) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $246.72, but hospitals typically charge $783.10 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$49.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $246.72, your out-of-pocket cost would be approximately $49.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$246.72
Average Hospital Charge
$783.10
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$783.10
Medicare Allowed$246.72
Medicare Payment$188.56

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $188.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$331$1,0821532+34.1%
District of Columbia$313$66219122+26.9%
Hawaii$302$70538121+22.4%
New Jersey$285$8222431,721+15.6%
California$285$8377775,080+15.5%
Delaware$279$7482295+13.0%
Rhode Island$276$5021289+11.9%
Montana$276$4932078+11.7%
New York$273$7854323,495+10.6%
Connecticut$271$87089470+9.7%
Virginia$266$6021841,231+7.8%
Maryland$257$7221421,031+4.1%
Wyoming$255$325623+3.3%
Colorado$254$720126628+3.0%
Massachusetts$253$7911552,407+2.5%
New Hampshire$251$68138221+1.7%
Nevada$251$82346249+1.6%
Oregon$250$73697424+1.2%
Puerto Rico$249$3532160+1.0%
Washington$248$6351591,031+0.6%
South Carolina$247$691120912-0.0%
North Carolina$246$5951981,459-0.4%
Iowa$244$69462336-1.2%
Florida$244$6545384,798-1.3%
Maine$243$51221167-1.7%
Idaho$242$66244159-2.0%
Illinois$242$7752681,638-2.0%
Louisiana$239$711126730-3.0%
Pennsylvania$239$6203112,330-3.3%
Texas$237$9694962,479-4.0%
Arizona$237$654134900-4.0%
Missouri$231$722130699-6.5%
New Mexico$230$4842376-6.9%
Arkansas$228$50560370-7.7%
Kansas$226$70066406-8.4%
Michigan$225$6402731,583-8.6%
Utah$225$65378318-9.0%
Georgia$223$2,2691951,295-9.6%
Vermont$223$5251147-9.8%
Kentucky$222$57291513-9.9%
Wisconsin$220$1,287123594-11.0%
Tennessee$219$6981671,385-11.3%
Alabama$217$489111656-12.0%
Ohio$212$6502251,309-14.0%
West Virginia$212$55641158-14.2%
Minnesota$211$917101389-14.6%
South Dakota$207$75927189-16.3%
Oklahoma$206$863121670-16.5%
North Dakota$201$8452993-18.4%
Mississippi$195$839106373-20.8%
Indiana$189$1,058113583-23.3%
Nebraska$183$71240204-25.8%

⚠️ 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