CPT 65778 Surgery - Eye
Cover eye w/membrane Cost
Body System: Eye
Medicare Facility Rate
$36
CMS PFS CY2026
Medicare Non-Facility Rate
$1,274
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.82
Work RVU
0.21
Facility PE RVU
0.04
Malpractice RVU
38.15
Total RVU
Frequently Asked Questions
How much does Cover eye w/membrane cost?
The Medicare facility rate is $36. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1.
How much does Cover eye w/membrane 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 $36.