CPT 65290 Surgery - Eye
Repair of eye socket wound Cost
Body System: Eye
Medicare Facility Rate
$415
CMS PFS CY2026
Medicare Non-Facility Rate
$415
Office/clinic setting
Hospital Outpatient
$4
OPPS rate
Surgery Center (ASC)
$1
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.37
Work RVU
5.57
Facility PE RVU
0.49
Malpractice RVU
12.43
Total RVU
Frequently Asked Questions
How much does Repair of eye socket wound cost?
The Medicare facility rate is $415. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $4. Ambulatory surgery center rate: $1.
How much does Repair of eye socket wound cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $415.