Creation of shunt to improve eye fluid flow using tissue graft
Medicare pricing data for 2,289 providers across 48 states
Prices vary significantly by location — from $698 in District of Columbia to $2,024 in Hawaii. 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
Creation of shunt to improve eye fluid flow using tissue graft (HCPCS code 66180) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,562, but hospitals typically charge $4,694 — a 3.0x 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 $1,562, your out-of-pocket cost would be approximately $312.36. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $1,241 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $2,024 | $4,708 | 8 | 27 | +29.6% |
| Delaware | $1,897 | $3,607 | 6 | 104 | +21.5% |
| Nevada | $1,889 | $5,408 | 15 | 201 | +20.9% |
| New Jersey | $1,855 | $4,364 | 53 | 405 | +18.8% |
| Idaho | $1,815 | $3,839 | 10 | 68 | +16.2% |
| California | $1,811 | $6,090 | 315 | 1,706 | +16.0% |
| Arizona | $1,806 | $4,155 | 41 | 229 | +15.6% |
| Maine | $1,761 | $4,075 | 8 | 36 | +12.8% |
| Washington | $1,749 | $3,326 | 52 | 274 | +12.0% |
| South Dakota | $1,718 | $4,232 | 9 | 56 | +10.0% |
| Arkansas | $1,713 | $3,012 | 13 | 121 | +9.6% |
| Virginia | $1,709 | $4,607 | 56 | 460 | +9.4% |
| Kansas | $1,693 | $4,503 | 21 | 127 | +8.4% |
| Indiana | $1,690 | $12,356 | 28 | 226 | +8.2% |
| Texas | $1,681 | $6,950 | 161 | 1,024 | +7.7% |
| South Carolina | $1,674 | $3,383 | 22 | 272 | +7.2% |
| Florida | $1,638 | $4,550 | 201 | 1,458 | +4.9% |
| Connecticut | $1,633 | $6,019 | 29 | 138 | +4.5% |
| Tennessee | $1,629 | $4,430 | 43 | 258 | +4.3% |
| New York | $1,620 | $5,781 | 144 | 847 | +3.8% |
| Georgia | $1,614 | $4,493 | 58 | 379 | +3.4% |
| Colorado | $1,608 | $4,359 | 31 | 157 | +3.0% |
| Mississippi | $1,589 | $3,549 | 18 | 175 | +1.8% |
| New Hampshire | $1,584 | $4,825 | 14 | 87 | +1.4% |
| Louisiana | $1,584 | $3,929 | 30 | 201 | +1.4% |
| Montana | $1,575 | $4,242 | 10 | 116 | +0.8% |
| Illinois | $1,557 | $4,152 | 77 | 494 | -0.3% |
| Nebraska | $1,547 | $4,555 | 13 | 118 | -1.0% |
| Kentucky | $1,540 | $4,615 | 16 | 93 | -1.4% |
| Wisconsin | $1,495 | $8,161 | 31 | 162 | -4.3% |
| Utah | $1,494 | $5,276 | 22 | 104 | -4.3% |
| Oklahoma | $1,484 | $4,213 | 15 | 157 | -5.0% |
| Maryland | $1,473 | $3,039 | 58 | 471 | -5.7% |
| Oregon | $1,447 | $4,316 | 31 | 99 | -7.4% |
| Pennsylvania | $1,444 | $3,625 | 102 | 740 | -7.5% |
| Iowa | $1,444 | $5,356 | 15 | 131 | -7.6% |
| Ohio | $1,437 | $4,817 | 85 | 561 | -8.0% |
| Alabama | $1,435 | $2,856 | 28 | 221 | -8.1% |
| Massachusetts | $1,401 | $3,384 | 84 | 373 | -10.3% |
| New Mexico | $1,399 | $2,955 | 9 | 53 | -10.4% |
| North Dakota | $1,376 | $3,959 | 8 | 52 | -11.9% |
| Michigan | $1,295 | $3,645 | 76 | 345 | -17.1% |
| Missouri | $1,273 | $3,458 | 42 | 256 | -18.5% |
| North Carolina | $1,265 | $3,402 | 69 | 580 | -19.0% |
| Rhode Island | $1,218 | $3,114 | 6 | 17 | -22.0% |
| West Virginia | $1,132 | $3,256 | 6 | 28 | -27.5% |
| Minnesota | $745 | $2,403 | 42 | 485 | -52.3% |
| District of Columbia | $698 | $1,607 | 6 | 26 | -55.3% |
⚠️ 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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