Cost analysis for CPT 65778 — Placement of amniotic membrane on eye surface for wound healing
Average Medicare Payment
$1061.49
2023 data
Total Payments (2023)
$43.4M
Services (2023)
40.7K
Price Change (2014–2023)
-3.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $1100.92 | $4.1M | 3.7K | — |
| 2015 | $1082.98 | $7.9M | 7.4K | -1.6% |
| 2016 | $1109.38 | $15.4M | 13.8K | +2.4% |
| 2017 | $1089.67 | $23.1M | 21.3K | -1.8% |
| 2018 | $1111.47 | $27.3M | 24.6K | +2.0% |
| 2019 | $1129.28 | $32.8M | 28.8K | +1.6% |
| 2020 | $1144.66 | $26.6M | 23.1K | +1.4% |
| 2021 | $1192.61 | $34.6M | 28.7K | +4.2% |
| 2022 | $1127.82 | $40.1M | 35.6K | -5.4% |
| 2023 | $1061.49 | $43.4M | 40.7K | -5.9% |
The most expensive state pays 1.4x more than the cheapest for this procedure. MD averages $1243.63 vs MS at $894.50.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MD | $1243.63 | $671.6K | 540 | 11 |
| NY | $1242.57 | $3.4M | 2.7K | 33 |
| CT | $1241.61 | $458.2K | 369 | 3 |
| MA | $1229.09 | $129.1K | 105 | 4 |
| NJ | $1224.94 | $1.2M | 1.0K | 20 |
| HI | $1204.40 | $425.2K | 353 | 1 |
| CA | $1187.85 | $9.5M | 8.0K | 91 |
| AK | $1185.45 | $120.9K | 102 | 3 |
| WA | $1156.08 | $349.1K | 302 | 9 |
| IL | $1070.72 | $836.2K | 781 | 12 |
| NV | $1045.29 | $1.1M | 1.1K | 10 |
| TX | $1039.63 | $6.5M | 6.2K | 102 |
| WI | $1035.59 | $113.9K | 110 | 4 |
| CO | $1035.32 | $360.3K | 348 | 7 |
| VA | $1030.15 | $973.5K | 945 | 12 |
| FL | $1029.71 | $2.0M | 1.9K | 38 |
| PA | $1007.41 | $1.8M | 1.8K | 30 |
| AZ | $1005.93 | $2.4M | 2.4K | 27 |
| MO | $989.26 | $439.2K | 444 | 9 |
| MI | $987.11 | $1.4M | 1.4K | 15 |
| GA | $985.53 | $561.8K | 570 | 11 |
| UT | $976.55 | $250.0K | 256 | 6 |
| IN | $973.88 | $576.5K | 592 | 12 |
| OH | $972.28 | $1.4M | 1.4K | 19 |
| NC | $970.05 | $337.6K | 348 | 10 |
| KS | $965.75 | $283.0K | 293 | 10 |
| SC | $951.70 | $443.5K | 466 | 7 |
| TN | $945.48 | $2.5M | 2.6K | 15 |
| OK | $933.83 | $859.1K | 920 | 14 |
| KY | $930.15 | $385.1K | 414 | 13 |
| LA | $913.72 | $406.6K | 445 | 8 |
| AL | $907.76 | $679.0K | 748 | 9 |
| MS | $894.50 | $358.7K | 401 | 10 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Helen Boerman | Optometry | TN | $1.0M | 1.1K | $941.30 |
| Baljit Sohal | Optometry | CA | $1.0M | 892 | $1146.59 |
| Bradley Hamar | Optometry | CA | $1.0M | 891 | $1143.08 |
| Adam Dao | Ophthalmology | CA | $951.4K | 777 | $1224.41 |
| Elise Svennevik | Optometry | TN | $681.0K | 723 | $941.91 |
| Sandra Belmont | Ophthalmology | NY | $622.7K | 453 | $1374.70 |
| Sarjan Patel | Ophthalmology | CA | $586.2K | 483 | $1213.58 |
| Vincent Verdi | Ophthalmology | VA | $494.2K | 491 | $1006.42 |
| Christopher Richardson | General Surgery | NV | $448.0K | 442 | $1013.62 |
| Justin Treat | Optometry | CA | $430.7K | 379 | $1136.31 |
| Timothy Anderson | Optometry | MI | $425.8K | 444 | $959.07 |
| Kellen Kashiwa | Optometry | HI | $425.2K | 353 | $1204.40 |
| Debora Garcia-Zalisnak | Ophthalmology | AZ | $424.7K | 419 | $1013.65 |
| Nicholas Pefkaros | Ophthalmology | FL | $382.4K | 357 | $1071.18 |
| Steven Yaplee | Ophthalmology | CA | $354.0K | 310 | $1142.07 |
| Edward Bustamante | Optometry | TX | $352.7K | 353 | $999.13 |
| Brian Landrum | Optometry | OH | $344.5K | 356 | $967.58 |
| Dawn Phillips | Ophthalmology | IL | $337.3K | 310 | $1088.20 |
| Andrew James | Optometry | TX | $335.1K | 326 | $1028.04 |
| Yuna Rapoport | Ophthalmology | NY | $333.1K | 269 | $1238.41 |
Based on the data, CPT 65778 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 3.6% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.