CPT 66225 Surgery - Eye
Repair/graft eye lesion Cost
Body System: Eye
Medicare Facility Rate
$793
CMS PFS CY2026
Medicare Non-Facility Rate
$793
Office/clinic setting
Hospital Outpatient
$5
OPPS rate
Surgery Center (ASC)
$2
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
12.31
Work RVU
10.44
Facility PE RVU
1.00
Malpractice RVU
23.75
Total RVU
Frequently Asked Questions
How much does Repair/graft eye lesion cost?
The Medicare facility rate is $793. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $5. Ambulatory surgery center rate: $2.
How much does Repair/graft eye lesion 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 $793.