Cost analysis for CPT 67904 — Repair of tendon of upper eyelid
Average Medicare Payment
$597.57
2023 data
Total Payments (2023)
$28.1M
Services (2023)
48.9K
Price Change (2014–2023)
+1.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $591.43 | $28.1M | 50.4K | — |
| 2015 | $582.82 | $28.1M | 50.4K | -1.5% |
| 2016 | $563.03 | $28.5M | 53.7K | -3.4% |
| 2017 | $572.59 | $30.7M | 56.7K | +1.7% |
| 2018 | $573.62 | $31.1M | 57.5K | +0.2% |
| 2019 | $583.53 | $32.3M | 58.8K | +1.7% |
| 2020 | $589.59 | $21.3M | 38.0K | +1.0% |
| 2021 | $593.25 | $24.0M | 42.6K | +0.6% |
| 2022 | $590.67 | $25.9M | 46.1K | -0.4% |
| 2023 | $597.57 | $28.1M | 48.9K | +1.2% |
The most expensive state pays 1.4x more than the cheapest for this procedure. CA averages $698.77 vs ME at $513.16.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $698.77 | $2.4M | 3.4K | 64 |
| KY | $694.03 | $424.1K | 611 | 11 |
| HI | $656.37 | $102.4K | 156 | 6 |
| MA | $655.79 | $491.8K | 750 | 18 |
| NV | $615.13 | $339.6K | 552 | 11 |
| CT | $611.55 | $115.0K | 188 | 8 |
| OR | $604.91 | $435.5K | 720 | 17 |
| WA | $598.88 | $825.9K | 1.4K | 27 |
| NJ | $593.88 | $711.5K | 1.2K | 22 |
| WI | $593.26 | $378.5K | 638 | 20 |
| MD | $589.30 | $488.5K | 829 | 22 |
| IL | $584.47 | $519.6K | 889 | 22 |
| PA | $583.82 | $1.5M | 2.5K | 64 |
| MT | $582.45 | $62.3K | 107 | 5 |
| CO | $581.62 | $374.0K | 643 | 13 |
| MN | $581.53 | $417.5K | 718 | 19 |
| IA | $579.69 | $270.7K | 467 | 13 |
| VA | $577.01 | $721.8K | 1.3K | 22 |
| NY | $574.29 | $1.4M | 2.4K | 30 |
| MI | $570.43 | $1.1M | 2.0K | 38 |
| NC | $567.96 | $1.2M | 2.1K | 37 |
| MO | $565.88 | $357.6K | 632 | 25 |
| SD | $564.62 | $169.4K | 300 | 6 |
| IN | $562.19 | $566.7K | 1.0K | 15 |
| GA | $561.50 | $1.0M | 1.9K | 31 |
| AZ | $560.30 | $1.0M | 1.9K | 32 |
| NE | $558.12 | $228.8K | 410 | 7 |
| NM | $557.71 | $117.7K | 211 | 4 |
| ID | $557.69 | $138.3K | 248 | 10 |
| FL | $556.74 | $2.1M | 3.9K | 95 |
| SC | $551.25 | $788.8K | 1.4K | 26 |
| TX | $550.57 | $2.2M | 3.9K | 66 |
| KS | $550.54 | $229.0K | 416 | 14 |
| LA | $549.44 | $183.0K | 333 | 12 |
| OK | $539.37 | $633.2K | 1.2K | 18 |
| OH | $538.98 | $988.5K | 1.8K | 35 |
| UT | $533.03 | $448.3K | 841 | 14 |
| AR | $529.64 | $393.0K | 742 | 8 |
| AL | $525.85 | $279.8K | 532 | 14 |
| MS | $518.27 | $702.8K | 1.4K | 18 |
| TN | $515.56 | $1.1M | 2.0K | 35 |
| ME | $513.16 | $55.9K | 109 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Syracuse Surgery Center, Llc | Ambulatory Surgical Center | NY | $345.0K | 671 | $514.23 |
| Wilmington Eye Surgery Center, Llc | Ambulatory Surgical Center | NC | $267.5K | 547 | $489.06 |
| New Millennium Surgery Center, Pllc | Ambulatory Surgical Center | MI | $232.5K | 445 | $522.49 |
| Physicians Eye Surgery Center Llc | Ambulatory Surgical Center | SC | $187.3K | 366 | $511.73 |
| Los Gatos Surgical Center, A California Limited Partnership | Ambulatory Surgical Center | CA | $173.7K | 227 | $765.09 |
| Island Eye Surgicenter Llc | Ambulatory Surgical Center | NY | $171.8K | 299 | $574.61 |
| Ophthalmology Surgery Center Of Dallas, Llc | Ambulatory Surgical Center | TX | $164.4K | 318 | $517.03 |
| Northwest Eyelid And Orbital Specialists Ps | Ambulatory Surgical Center | WA | $164.3K | 306 | $537.07 |
| South Texas Ambulatory Surgery Center, Pllc | Ambulatory Surgical Center | TX | $155.8K | 357 | $436.41 |
| Juan Servat | Ophthalmology | GA | $153.1K | 236 | $648.89 |
| St Marks Surgical Center Llc | Ambulatory Surgical Center | FL | $149.9K | 286 | $524.05 |
| Tarek El-Sawy | Ophthalmology | CA | $144.9K | 153 | $947.02 |
| Sierra Pacific Surgery Center Llc | Ambulatory Surgical Center | CA | $139.5K | 252 | $553.64 |
| Vantage Surgery Center, L P | Ambulatory Surgical Center | CA | $139.4K | 188 | $741.73 |
| Eye Center Of Columbus, Llc | Ambulatory Surgical Center | OH | $132.9K | 250 | $531.55 |
| Nebraska Surgery Center Llc | Ambulatory Surgical Center | NE | $123.2K | 232 | $531.17 |
| David Cowen | Plastic and Reconstructive Surgery | KY | $121.7K | 196 | $621.03 |
| Heaton Laser And Surgery Center L L C | Ambulatory Surgical Center | TX | $119.5K | 243 | $491.77 |
| Sltlbk Associates, Llc | Ambulatory Surgical Center | PA | $118.2K | 230 | $513.87 |
| John Langford | Ophthalmology | IN | $113.9K | 188 | $605.92 |
Based on the data, CPT 67904 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 1.0% 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.