Cost analysis for CPT 65820 — Incision to improve eye fluid flow
Average Medicare Payment
$932.94
2023 data
Total Payments (2023)
$47.8M
Services (2023)
47.9K
Price Change (2014–2023)
+43.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $651.11 | $17.4K | 27 | — |
| 2015 | $486.88 | $9.7K | 20 | -25.2% |
| 2016 | $917.57 | $3.3M | 3.4K | +88.5% |
| 2017 | $847.65 | $7.1M | 8.0K | -7.6% |
| 2018 | $834.48 | $14.3M | 16.3K | -1.6% |
| 2019 | $784.54 | $23.3M | 28.3K | -6.0% |
| 2020 | $913.38 | $21.4M | 22.1K | +16.4% |
| 2021 | $958.12 | $28.8M | 28.1K | +4.9% |
| 2022 | $927.53 | $44.4M | 44.9K | -3.2% |
| 2023 | $932.94 | $47.8M | 47.9K | +0.6% |
The most expensive state pays 1.6x more than the cheapest for this procedure. NV averages $1165.66 vs IA at $712.31.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NV | $1165.66 | $422.0K | 362 | 14 |
| NY | $1156.51 | $4.3M | 3.7K | 90 |
| CA | $1154.14 | $4.8M | 4.2K | 113 |
| MD | $1148.19 | $2.2M | 1.9K | 41 |
| DE | $1140.83 | $211.1K | 185 | 4 |
| NJ | $1122.71 | $3.0M | 2.6K | 58 |
| VA | $1106.83 | $2.8M | 2.5K | 44 |
| WA | $1105.80 | $776.3K | 702 | 21 |
| OR | $1081.41 | $183.8K | 170 | 7 |
| ME | $1076.93 | $199.2K | 185 | 6 |
| NH | $1074.86 | $402.0K | 374 | 7 |
| MA | $1068.56 | $1.1M | 1.1K | 30 |
| AR | $1050.75 | $203.8K | 194 | 6 |
| ND | $1024.93 | $153.7K | 150 | 5 |
| MN | $1020.39 | $468.4K | 459 | 15 |
| SD | $998.83 | $148.8K | 149 | 4 |
| TX | $997.74 | $3.5M | 3.5K | 94 |
| SC | $992.28 | $1.5M | 1.5K | 37 |
| GA | $990.08 | $1.5M | 1.5K | 38 |
| AZ | $971.89 | $694.9K | 715 | 17 |
| PA | $962.42 | $1.8M | 1.8K | 49 |
| FL | $956.07 | $3.7M | 3.9K | 98 |
| IL | $951.65 | $1.8M | 1.9K | 54 |
| CO | $946.59 | $391.9K | 414 | 13 |
| LA | $931.18 | $206.7K | 222 | 8 |
| TN | $924.00 | $523.0K | 566 | 20 |
| CT | $909.67 | $344.8K | 379 | 10 |
| NE | $888.75 | $414.2K | 466 | 10 |
| MI | $887.91 | $1.4M | 1.6K | 55 |
| AL | $877.01 | $396.4K | 452 | 11 |
| KY | $872.52 | $273.1K | 313 | 11 |
| WI | $871.24 | $378.1K | 434 | 15 |
| OH | $864.17 | $1.4M | 1.7K | 43 |
| OK | $858.13 | $376.7K | 439 | 15 |
| IN | $844.10 | $1.2M | 1.4K | 31 |
| KS | $805.74 | $441.5K | 548 | 15 |
| MO | $787.69 | $1.3M | 1.6K | 44 |
| NC | $787.38 | $1.2M | 1.5K | 37 |
| UT | $780.03 | $202.0K | 259 | 7 |
| MS | $777.93 | $565.6K | 727 | 16 |
| RI | $737.50 | $111.4K | 151 | 5 |
| IA | $712.31 | $355.4K | 499 | 10 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Essex Specialized Surgical Institute Llc | Ambulatory Surgical Center | NJ | $597.7K | 375 | $1593.74 |
| Brook Plaza Ambulatory Surgical Center, Inc. | Ambulatory Surgical Center | NY | $549.7K | 312 | $1761.79 |
| Virginia Eye Institute Inc | Ambulatory Surgical Center | VA | $467.5K | 318 | $1470.07 |
| Ophthalmology Surgery Center Of Dallas, Llc | Ambulatory Surgical Center | TX | $398.4K | 265 | $1503.44 |
| Rockville Eye Surgery Center, Llc | Ambulatory Surgical Center | MD | $363.4K | 236 | $1539.86 |
| Lakeview Surgery Center Llc | Ambulatory Surgical Center | MD | $349.6K | 227 | $1540.31 |
| Virginia Surgery Center, Llc | Ambulatory Surgical Center | VA | $332.8K | 232 | $1434.65 |
| Alicia Surgery Center Llc | Ambulatory Surgical Center | CA | $319.9K | 192 | $1666.25 |
| Brooklyn Eye Surgery Center Llc | Ambulatory Surgical Center | NY | $306.7K | 171 | $1793.61 |
| Novamed Management Services Llc | Ambulatory Surgical Center | GA | $254.4K | 194 | $1311.51 |
| Island Eye Surgicenter Llc | Ambulatory Surgical Center | NY | $246.6K | 177 | $1392.95 |
| Hancock Park Surgery Center, Llc | Ambulatory Surgical Center | CA | $244.1K | 202 | $1208.34 |
| Douglas Grayson | Ophthalmology | NJ | $223.9K | 299 | $748.83 |
| West Suburban Eye Surgery Center Llc | Ambulatory Surgical Center | MA | $213.2K | 138 | $1544.96 |
| Sheepshead Bay Surgery Center, Inc. | Ambulatory Surgical Center | NY | $212.3K | 124 | $1711.97 |
| Vision Care Center, A Medical Group Inc | Ambulatory Surgical Center | CA | $208.8K | 128 | $1631.61 |
| Hea Gramercy Surgery Center, Pllc | Ambulatory Surgical Center | TX | $205.7K | 134 | $1535.39 |
| River Drive Surgery Center, Llc | Ambulatory Surgical Center | NJ | $201.1K | 139 | $1446.99 |
| Physicians Eye Surgery Center Llc | Ambulatory Surgical Center | SC | $195.6K | 134 | $1459.65 |
| Surgical Care Center, Inc. | Ambulatory Surgical Center | IN | $193.5K | 196 | $987.13 |
Based on the data, CPT 65820 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 43.3% 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.