Fitting of contact lens for treatment of eye surface disease
Medicare pricing data for 9,543 providers across 51 states
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
Fitting of contact lens for treatment of eye surface disease (HCPCS code 92071) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.33, but hospitals typically charge $108.28 — 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 $37.33, your out-of-pocket cost would be approximately $7.47. 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 $28.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $46 | $115 | 23 | 150 | +23.4% |
| District of Columbia | $43 | $91 | 13 | 24 | +15.3% |
| New York | $41 | $166 | 503 | 3,093 | +8.9% |
| Maryland | $40 | $128 | 176 | 861 | +8.3% |
| California | $40 | $114 | 691 | 4,008 | +7.1% |
| New Jersey | $40 | $116 | 249 | 1,024 | +6.8% |
| Massachusetts | $39 | $173 | 233 | 1,074 | +5.5% |
| Connecticut | $39 | $118 | 118 | 558 | +5.2% |
| Colorado | $39 | $99 | 184 | 748 | +4.2% |
| Hawaii | $39 | $124 | 30 | 75 | +3.5% |
| Texas | $38 | $100 | 672 | 3,720 | +1.7% |
| Washington | $38 | $92 | 221 | 866 | +1.3% |
| Rhode Island | $37 | $104 | 50 | 165 | -0.4% |
| Florida | $37 | $100 | 725 | 5,191 | -0.5% |
| Minnesota | $37 | $113 | 174 | 635 | -0.6% |
| New Hampshire | $37 | $116 | 55 | 235 | -0.9% |
| Illinois | $37 | $113 | 408 | 1,930 | -1.1% |
| North Dakota | $37 | $116 | 59 | 292 | -1.2% |
| Delaware | $37 | $94 | 22 | 121 | -1.2% |
| Virginia | $37 | $120 | 275 | 1,155 | -1.6% |
| New Mexico | $37 | $87 | 36 | 221 | -1.7% |
| South Dakota | $37 | $82 | 45 | 163 | -1.7% |
| Michigan | $37 | $102 | 276 | 1,100 | -1.8% |
| Arizona | $37 | $88 | 210 | 1,223 | -1.9% |
| Tennessee | $37 | $108 | 258 | 1,317 | -1.9% |
| Montana | $37 | $76 | 43 | 269 | -2.1% |
| Nevada | $36 | $98 | 85 | 448 | -2.6% |
| Pennsylvania | $36 | $97 | 385 | 1,579 | -2.7% |
| Missouri | $36 | $110 | 202 | 657 | -2.9% |
| Wyoming | $36 | $90 | 42 | 157 | -3.2% |
| Utah | $36 | $78 | 68 | 209 | -4.2% |
| Kentucky | $36 | $91 | 157 | 707 | -4.3% |
| Georgia | $36 | $104 | 228 | 773 | -4.5% |
| North Carolina | $36 | $91 | 261 | 1,022 | -4.7% |
| Oregon | $36 | $81 | 134 | 449 | -4.9% |
| Mississippi | $35 | $91 | 125 | 511 | -5.3% |
| Vermont | $35 | $89 | 25 | 98 | -5.5% |
| Iowa | $35 | $86 | 167 | 577 | -5.7% |
| Ohio | $35 | $123 | 348 | 1,125 | -5.7% |
| South Carolina | $35 | $90 | 142 | 471 | -6.5% |
| Wisconsin | $35 | $127 | 159 | 531 | -6.5% |
| Idaho | $35 | $106 | 64 | 218 | -6.9% |
| Alabama | $35 | $82 | 169 | 733 | -6.9% |
| Indiana | $35 | $88 | 241 | 737 | -7.0% |
| Kansas | $35 | $84 | 141 | 568 | -7.1% |
| Oklahoma | $35 | $77 | 147 | 567 | -7.3% |
| Arkansas | $34 | $81 | 105 | 386 | -7.7% |
| Nebraska | $34 | $80 | 93 | 439 | -7.9% |
| West Virginia | $34 | $99 | 60 | 243 | -8.1% |
| Maine | $34 | $88 | 59 | 184 | -8.4% |
| Louisiana | $34 | $88 | 119 | 450 | -10.2% |
⚠️ 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