CPT 67938 Surgery - Eye
Remove eyelid foreign body Cost
Body System: Eye
Medicare Facility Rate
$100
CMS PFS CY2026
Medicare Non-Facility Rate
$252
Office/clinic setting
Hospital Outpatient
$324
OPPS rate
Surgery Center (ASC)
$174
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.35
Work RVU
1.59
Facility PE RVU
0.06
Malpractice RVU
7.55
Total RVU
Frequently Asked Questions
How much does Remove eyelid foreign body cost?
The Medicare facility rate is $100. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $324. Ambulatory surgery center rate: $174.
How much does Remove eyelid foreign body 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 $100.