CPT 67255 Surgery - Eye
Reinforce/graft eye wall Cost
Body System: Eye
Medicare Facility Rate
$597
CMS PFS CY2026
Medicare Non-Facility Rate
$597
Office/clinic setting
Hospital Outpatient
$4
OPPS rate
Surgery Center (ASC)
$2
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
8.17
Work RVU
9.04
Facility PE RVU
0.65
Malpractice RVU
17.86
Total RVU
Frequently Asked Questions
How much does Reinforce/graft eye wall cost?
The Medicare facility rate is $597. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $4. Ambulatory surgery center rate: $2.
How much does Reinforce/graft eye wall 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 $597.