Destruction of growth of eyelid margin, 1.0 cm or less
Medicare pricing data for 562 providers across 32 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $250 | $423 | 79 | 982 | +11.8% |
| District of Columbia | $248 | $324 | 3 | 18 | +10.5% |
| Michigan | $244 | $674 | 18 | 115 | +8.8% |
| New York | $239 | $638 | 54 | 761 | +6.5% |
| New Jersey | $238 | $395 | 30 | 100 | +6.1% |
| Connecticut | $233 | $542 | 7 | 13 | +4.1% |
| Alaska | $229 | $672 | 5 | 17 | +2.2% |
| Illinois | $228 | $439 | 14 | 52 | +1.8% |
| Colorado | $225 | $412 | 7 | 18 | +0.5% |
| Maryland | $221 | $884 | 12 | 3,258 | -1.2% |
| Nebraska | $220 | $503 | 5 | 17 | -1.9% |
| Massachusetts | $219 | $500 | 13 | 114 | -2.5% |
| Georgia | $217 | $564 | 11 | 19 | -3.0% |
| New Hampshire | $217 | $396 | 3 | 13 | -3.2% |
| Washington | $212 | $396 | 19 | 46 | -5.4% |
| Virginia | $211 | $473 | 8 | 65 | -6.0% |
| Indiana | $210 | $497 | 15 | 47 | -6.5% |
| Texas | $208 | $358 | 45 | 332 | -7.0% |
| Florida | $206 | $405 | 34 | 757 | -7.9% |
| Oregon | $206 | $439 | 10 | 22 | -8.2% |
| Pennsylvania | $205 | $591 | 14 | 56 | -8.4% |
| North Carolina | $202 | $516 | 14 | 43 | -9.7% |
| Iowa | $202 | $367 | 24 | 66 | -9.8% |
| Louisiana | $201 | $396 | 7 | 11 | -10.2% |
| Wyoming | $201 | $302 | 10 | 16 | -10.3% |
| Utah | $194 | $283 | 10 | 19 | -13.5% |
| Kentucky | $191 | $457 | 7 | 19 | -15.0% |
| Missouri | $186 | $522 | 6 | 19 | -16.8% |
| Idaho | $186 | $538 | 5 | 15 | -17.0% |
| Oklahoma | $181 | $294 | 13 | 28 | -19.3% |
| Tennessee | $175 | $321 | 9 | 18 | -22.0% |
| South Dakota | $83 | $162 | 3 | 243 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber