CPT 67420 Surgery - Eye
Explore/treat eye socket Cost
Body System: Eye
Medicare Facility Rate
$1,504
CMS PFS CY2026
Medicare Non-Facility Rate
$1,504
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)
21.32
Work RVU
21.66
Facility PE RVU
2.05
Malpractice RVU
45.03
Total RVU
Frequently Asked Questions
How much does Explore/treat eye socket cost?
The Medicare facility rate is $1,504. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $4. Ambulatory surgery center rate: $1.
How much does Explore/treat eye socket 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 $1,504.