65222

Removal of foreign body in cornea using slit lamp

Medicare pricing data for 9,514 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 foreign body in cornea using slit lamp (HCPCS code 65222) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.88, but hospitals typically charge $182.61 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.88, your out-of-pocket cost would be approximately $13.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.88
Average Hospital Charge
$182.61
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$182.61
Medicare Allowed$65.88
Medicare Payment$45.72

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $45.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$80$3273038+21.6%
Hawaii$79$18844110+19.9%
District of Columbia$76$2281520+14.9%
New York$74$2425271,405+12.1%
New Jersey$73$207283607+10.8%
California$72$1647612,566+10.0%
Maryland$72$172148264+9.0%
Connecticut$71$25996141+7.9%
Massachusetts$69$234246386+5.1%
New Hampshire$69$1745192+4.8%
Rhode Island$69$1883659+4.3%
Delaware$69$1932678+4.3%
Nevada$68$22042153+2.6%
Virginia$67$170262483+2.1%
Colorado$67$158139240+1.8%
Washington$66$181206307+0.9%
Puerto Rico$66$741822+0.8%
Wyoming$66$1393859+0.1%
Montana$66$13061109-0.3%
Oregon$65$163111178-0.7%
Illinois$65$205332607-0.9%
South Dakota$65$1226387-1.0%
Pennsylvania$65$187438695-1.7%
Vermont$64$1812944-2.1%
Arizona$64$145184282-2.3%
North Dakota$64$1664254-2.4%
Texas$64$1896291,033-3.0%
Nebraska$63$14678111-3.7%
Utah$63$1396186-3.7%
New Mexico$63$12765102-3.7%
South Carolina$63$186163286-4.0%
Minnesota$63$198160216-4.1%
North Carolina$63$179299468-4.1%
Maine$63$1394873-4.4%
Kansas$63$155177312-4.4%
Michigan$63$175279425-4.7%
Iowa$63$168169263-4.7%
Georgia$63$204224402-4.8%
Missouri$62$147200333-5.6%
Indiana$62$167209294-5.7%
Idaho$62$1786094-5.8%
Tennessee$62$146206322-5.8%
Alabama$62$153156246-6.1%
Ohio$62$209307435-6.4%
Kentucky$61$153146217-7.1%
Wisconsin$61$358179231-7.2%
Oklahoma$61$155168264-7.7%
Florida$61$1566401,847-7.7%
Arkansas$61$144121229-7.8%
Mississippi$60$169144317-8.4%
Louisiana$60$189182378-9.4%
West Virginia$59$1496381-11.1%

⚠️ 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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