CPT 65770 Surgery - Eye

Keratoprosthesis Cost

Body System: Eye

Medicare Facility Rate

$1,182

CMS PFS CY2026

Medicare Non-Facility Rate

$1,182

Office/clinic setting

Hospital Outpatient

$14

OPPS rate

Surgery Center (ASC)

$11

ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

19.25

Work RVU

14.62

Facility PE RVU

1.53

Malpractice RVU

35.40

Total RVU

Frequently Asked Questions

How much does Keratoprosthesis cost?

The Medicare facility rate is $1,182. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $14. Ambulatory surgery center rate: $11.

How much does Keratoprosthesis 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 $1,182.