Extensive repair of turning-outward eyelid defect
Medicare pricing data for 3,305 providers across 50 states
This procedure has a 5.4x markup — hospitals charge $3,041 but Medicare allows only $559.51. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. 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
Extensive repair of turning-outward eyelid defect (HCPCS code 67917) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $559.51, but hospitals typically charge $3,041 — a 5.4x 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 $559.51, your out-of-pocket cost would be approximately $111.90. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $442.77 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $725 | $6,272 | 10 | 26 | +29.7% |
| California | $664 | $3,536 | 365 | 1,979 | +18.7% |
| Delaware | $645 | $2,460 | 6 | 99 | +15.3% |
| New Jersey | $638 | $4,745 | 95 | 475 | +14.1% |
| Vermont | $631 | $2,170 | 4 | 104 | +12.9% |
| Connecticut | $631 | $3,939 | 44 | 228 | +12.7% |
| Oregon | $613 | $2,306 | 53 | 499 | +9.5% |
| New Mexico | $610 | $1,583 | 9 | 96 | +9.0% |
| Massachusetts | $607 | $2,100 | 80 | 684 | +8.5% |
| Nevada | $602 | $3,742 | 23 | 211 | +7.7% |
| Maryland | $601 | $2,408 | 74 | 688 | +7.4% |
| South Dakota | $599 | $2,138 | 17 | 186 | +7.1% |
| Washington | $594 | $1,946 | 80 | 1,117 | +6.1% |
| Virginia | $585 | $2,186 | 67 | 469 | +4.5% |
| Montana | $585 | $1,841 | 19 | 142 | +4.5% |
| Hawaii | $584 | $2,661 | 6 | 19 | +4.3% |
| Kansas | $583 | $4,665 | 35 | 325 | +4.2% |
| Maine | $581 | $2,124 | 13 | 185 | +3.9% |
| North Dakota | $575 | $2,196 | 21 | 127 | +2.8% |
| Colorado | $570 | $2,848 | 67 | 502 | +1.8% |
| New York | $566 | $3,006 | 134 | 1,108 | +1.2% |
| Arizona | $566 | $2,727 | 77 | 800 | +1.1% |
| Louisiana | $565 | $2,611 | 49 | 396 | +0.9% |
| Pennsylvania | $564 | $2,679 | 132 | 888 | +0.9% |
| Idaho | $562 | $1,799 | 37 | 233 | +0.5% |
| Minnesota | $560 | $3,151 | 75 | 631 | +0.1% |
| Illinois | $558 | $2,729 | 115 | 613 | -0.3% |
| New Hampshire | $553 | $2,966 | 11 | 63 | -1.1% |
| Nebraska | $551 | $2,117 | 29 | 160 | -1.5% |
| Georgia | $550 | $3,392 | 94 | 816 | -1.7% |
| North Carolina | $549 | $2,078 | 104 | 886 | -1.9% |
| Iowa | $547 | $2,479 | 31 | 272 | -2.2% |
| Missouri | $546 | $2,461 | 74 | 701 | -2.4% |
| Texas | $540 | $5,248 | 228 | 2,207 | -3.4% |
| Oklahoma | $539 | $3,827 | 46 | 589 | -3.6% |
| District of Columbia | $538 | $2,615 | 4 | 23 | -3.9% |
| Florida | $532 | $3,329 | 291 | 3,046 | -4.9% |
| Utah | $532 | $2,804 | 44 | 591 | -4.9% |
| Tennessee | $531 | $2,509 | 89 | 885 | -5.1% |
| Michigan | $527 | $2,195 | 87 | 661 | -5.9% |
| Arkansas | $524 | $1,403 | 26 | 299 | -6.3% |
| Indiana | $515 | $4,580 | 48 | 568 | -8.0% |
| Alabama | $514 | $2,135 | 34 | 240 | -8.1% |
| Ohio | $510 | $2,400 | 106 | 894 | -8.9% |
| South Carolina | $502 | $2,151 | 57 | 573 | -10.3% |
| Rhode Island | $480 | $2,550 | 6 | 65 | -14.3% |
| Mississippi | $478 | $2,874 | 34 | 311 | -14.5% |
| West Virginia | $470 | $1,668 | 20 | 119 | -16.0% |
| Wisconsin | $452 | $4,812 | 44 | 298 | -19.2% |
| Kentucky | $432 | $1,928 | 38 | 379 | -22.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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