67850

Destruction of growth of eyelid margin, 1.0 cm or less

Medicare pricing data for 562 providers across 32 states

🤖AI Overview

Prices vary significantly by location — from $83 in South Dakota to $250 in California. Where you get this procedure matters more than almost any other factor. 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

Destruction of growth of eyelid margin, 1.0 cm or less (HCPCS code 67850) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $224.09, but hospitals typically charge $658.02 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$44.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $224.09, your out-of-pocket cost would be approximately $44.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$224.09
Average Hospital Charge
$658.02
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$658.02
Medicare Allowed$224.09
Medicare Payment$172.83

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $172.83 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$250$42379982+11.8%
District of Columbia$248$324318+10.5%
Michigan$244$67418115+8.8%
New York$239$63854761+6.5%
New Jersey$238$39530100+6.1%
Connecticut$233$542713+4.1%
Alaska$229$672517+2.2%
Illinois$228$4391452+1.8%
Colorado$225$412718+0.5%
Maryland$221$884123,258-1.2%
Nebraska$220$503517-1.9%
Massachusetts$219$50013114-2.5%
Georgia$217$5641119-3.0%
New Hampshire$217$396313-3.2%
Washington$212$3961946-5.4%
Virginia$211$473865-6.0%
Indiana$210$4971547-6.5%
Texas$208$35845332-7.0%
Florida$206$40534757-7.9%
Oregon$206$4391022-8.2%
Pennsylvania$205$5911456-8.4%
North Carolina$202$5161443-9.7%
Iowa$202$3672466-9.8%
Louisiana$201$396711-10.2%
Wyoming$201$3021016-10.3%
Utah$194$2831019-13.5%
Kentucky$191$457719-15.0%
Missouri$186$522619-16.8%
Idaho$186$538515-17.0%
Oklahoma$181$2941328-19.3%
Tennessee$175$321918-22.0%
South Dakota$83$1623243-63.0%

⚠️ 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