Ultrasound scan to determine eye length and lens power
Medicare pricing data for 4,360 providers across 52 states
Prices vary significantly by location — from $30 in Vermont to $77 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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
Ultrasound scan to determine eye length and lens power (HCPCS code 76519) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $49.20, but hospitals typically charge $167.27 — a 3.4x 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 $49.20, your out-of-pocket cost would be approximately $9.84. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $36.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $77 | $247 | 18 | 268 | +56.7% |
| Alaska | $66 | $351 | 12 | 250 | +34.5% |
| Colorado | $64 | $158 | 45 | 1,082 | +30.7% |
| Montana | $62 | $87 | 10 | 352 | +26.2% |
| Puerto Rico | $60 | $73 | 63 | 549 | +22.0% |
| Maryland | $58 | $177 | 111 | 4,018 | +18.3% |
| New Jersey | $58 | $175 | 193 | 7,723 | +17.2% |
| South Dakota | $57 | $282 | 8 | 63 | +15.5% |
| California | $55 | $174 | 486 | 12,639 | +12.5% |
| New York | $55 | $174 | 393 | 10,363 | +10.9% |
| Idaho | $53 | $129 | 12 | 86 | +7.5% |
| Connecticut | $53 | $200 | 69 | 1,904 | +7.1% |
| Michigan | $52 | $147 | 141 | 2,865 | +5.9% |
| Pennsylvania | $51 | $174 | 306 | 8,180 | +4.1% |
| Indiana | $51 | $161 | 62 | 1,643 | +3.3% |
| Wisconsin | $50 | $294 | 82 | 2,149 | +2.6% |
| Utah | $50 | $131 | 13 | 259 | +2.2% |
| Massachusetts | $50 | $216 | 115 | 2,012 | +1.9% |
| Illinois | $49 | $230 | 158 | 3,748 | +0.5% |
| Kansas | $49 | $189 | 39 | 3,184 | -0.2% |
| Florida | $49 | $172 | 243 | 7,723 | -0.5% |
| Arizona | $49 | $131 | 85 | 2,016 | -0.8% |
| Texas | $48 | $158 | 266 | 5,947 | -1.9% |
| Nevada | $47 | $213 | 24 | 434 | -3.6% |
| Washington | $47 | $137 | 113 | 906 | -3.6% |
| Missouri | $47 | $149 | 78 | 1,705 | -5.3% |
| Maine | $46 | $143 | 18 | 616 | -5.8% |
| Louisiana | $46 | $156 | 63 | 1,761 | -5.9% |
| Nebraska | $45 | $138 | 29 | 1,742 | -7.6% |
| Arkansas | $45 | $178 | 31 | 2,214 | -8.8% |
| New Mexico | $45 | $127 | 24 | 518 | -9.2% |
| Georgia | $44 | $167 | 76 | 1,001 | -9.8% |
| Minnesota | $44 | $150 | 107 | 1,850 | -10.1% |
| Oklahoma | $44 | $139 | 47 | 2,286 | -10.3% |
| Virginia | $44 | $119 | 96 | 4,739 | -11.2% |
| Oregon | $44 | $147 | 68 | 2,127 | -11.3% |
| South Carolina | $44 | $171 | 49 | 1,863 | -11.5% |
| New Hampshire | $43 | $149 | 8 | 45 | -11.6% |
| Rhode Island | $43 | $177 | 15 | 273 | -12.0% |
| Tennessee | $43 | $128 | 82 | 1,767 | -12.0% |
| Alabama | $43 | $146 | 50 | 301 | -12.9% |
| Ohio | $41 | $161 | 104 | 1,831 | -16.0% |
| North Dakota | $41 | $141 | 12 | 198 | -17.0% |
| Delaware | $40 | $96 | 16 | 3,224 | -18.7% |
| Hawaii | $39 | $164 | 15 | 488 | -21.1% |
| West Virginia | $39 | $134 | 19 | 971 | -21.5% |
| Kentucky | $38 | $124 | 51 | 1,417 | -22.0% |
| Iowa | $38 | $124 | 48 | 1,193 | -23.2% |
| North Carolina | $38 | $161 | 95 | 2,955 | -23.3% |
| Mississippi | $36 | $187 | 52 | 4,259 | -25.9% |
| Wyoming | $33 | $199 | 1 | 286 | -32.0% |
| Vermont | $30 | $108 | 3 | 13 | -39.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber