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Corneal transplant (DSAEK/DMEK): what insurers pay

Replacing the inner layer of the cornea with donor tissue. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 65756: Corneal Transplant (Dsaek/Dmek)

908 hospitals in 75 markets. National Medicare rate $4,223, surgery center $2,204.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)5$4,198$4,462$6,312$2,150–$7,207
Alaska (statewide)3———$4,180–$28,148
Arizona (statewide)5$2,918$5,995$6,514$2,911–$11,788
Arkansas (statewide)3———$4,208–$5,000
Atlanta GA6$7,861$7,861$9,810$7,861–$10,460
Austin TX13$3,666$7,428$8,483$3,666–$9,360
Boston MA11$6,383$6,915$7,828$4,048–$9,146
California (statewide)51$8,443$11,870$15,223$3,745–$22,690
Charlotte NC5$4,783$4,783$4,783$4,718–$4,783
Chicago IL8$5,964$8,624$10,607$4,985–$13,687
Cleveland OH10$5,784$6,650$7,553$4,302–$9,483
Colorado (statewide)13$7,268$9,199$11,278$2,723–$14,265
Connecticut (statewide)1———$7,060–$7,060
Dallas-Fort Worth TX8$9,737$11,264$13,429$9,464–$15,678
Denver CO15$5,498$9,050$9,574$4,023–$14,656
Detroit MI12$2,374$4,164$7,166$2,363–$8,789
Florida (statewide)59$7,958$9,238$10,886$2,333–$15,992
Georgia (statewide)25$6,311$7,512$10,460$2,955–$24,626
Hawaii (statewide)3———$5,008–$11,869
Houston TX17$7,889$8,104$9,284$5,641–$10,405
Idaho (statewide)10$4,195$4,253$8,284$3,996–$12,319
Illinois (statewide)21$5,094$8,692$10,607$4,429–$11,952
Indiana (statewide)18$6,127$12,948$22,277$3,958–$28,641
Iowa (statewide)13$6,435$7,346$8,707$2,284–$13,500
Kansas (statewide)8$7,312$9,628$10,812$5,348–$19,373
Kentucky (statewide)14$4,678$5,396$5,822$2,154–$10,531
Las Vegas NV2———$3,761–$4,960
Los Angeles CA17$8,516$9,952$11,962$7,358–$33,335
Louisiana (statewide)22$4,061$6,167$8,187$3,501–$11,852
Maine (statewide)15$16,484$18,907$19,138$10,370–$24,061
Massachusetts (statewide)2———$5,062–$6,164
Miami-Fort Lauderdale FL1———$7,511–$7,511
Michigan (statewide)17$5,435$5,928$7,017$2,385–$7,846
Minneapolis-St. Paul MN6$5,988$6,053$7,132$5,750–$8,659
Minnesota (statewide)11$7,622$11,290$13,460$3,240–$17,969
Mississippi (statewide)10$6,220$6,537$6,779$5,720–$11,272
Missouri (statewide)11$7,612$10,926$11,228$3,494–$13,429
Montana (statewide)3———$8,448–$13,038
Nashville TN8$5,828$6,500$6,650$3,649–$6,768
Nebraska (statewide)12$6,614$12,502$13,500$2,578–$28,144
Nevada (statewide)3———$4,820–$4,960
New Hampshire (statewide)6$14,416$17,098$18,235$11,153–$19,260
New Jersey (statewide)15$8,118$8,446$11,654$6,602–$17,947
New Mexico (statewide)4———$3,604–$10,808
New York (statewide)29$3,906$6,541$8,853$3,206–$18,891
New York City7$3,890$3,901$7,670$3,877–$12,148
North Carolina (statewide)2———$6,041–$10,958
North Dakota (statewide)5$7,180$9,080$9,112$6,959–$9,290
Ohio (statewide)34$6,264$8,093$10,486$2,661–$15,887
Oklahoma (statewide)13$5,839$6,072$9,143$3,721–$17,947
Oregon (statewide)8$10,047$11,164$15,856$5,509–$19,545
Pennsylvania (statewide)19$6,528$10,519$14,551$5,035–$19,014
Philadelphia PA11$8,559$8,896$11,511$6,869–$14,376
Phoenix AZ8$5,975$6,244$6,586$5,975–$6,800
Pittsburgh PA10$4,584$6,449$6,695$4,102–$7,465
Portland OR9$17,644$17,644$19,906$16,470–$19,906
Rhode Island (statewide)3———$8,798–$13,271
Richmond VA3———$6,980–$8,670
Rio Grande Valley TX3———$5,664–$10,665
Salt Lake City UT9$4,249$4,288$4,288$3,701–$4,356
San Antonio TX3———$5,634–$7,571
San Francisco Bay Area CA4———$11,092–$32,534
Seattle-Tacoma WA16$10,499$12,154$13,606$8,901–$14,541
South Carolina (statewide)17$11,274$12,884$17,367$3,101–$19,513
South Dakota (statewide)2———$6,302–$11,944
St. Louis MO1———$3,234–$3,234
Tampa FL6$9,238$9,238$9,238$8,201–$21,407
Tennessee (statewide)20$4,559$4,568$6,214$3,116–$6,768
Texas (statewide)67$5,495$8,305$13,044$2,563–$28,641
Utah (statewide)6$3,701$3,991$4,281$3,638–$4,288
Virginia (statewide)17$11,860$13,700$13,782$8,856–$18,102
Washington (statewide)10$11,109$12,256$13,340$10,022–$22,504
Washington DC9$8,846$9,511$9,511$7,077–$9,511
West Virginia (statewide)3———$4,465–$16,287
Wisconsin (statewide)32$8,392$11,170$11,342$4,305–$14,690

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$2,1500.6×12026-04-30
King'S Daughters' Medical CenterKentucky (statewide)$2,1540.6×22026-09-25
Chi Saint Joseph Berea NfKentucky (statewide)$2,1700.6×12026-02-28
Waverly Health CenterIowa (statewide)$2,2840.6×22026-03-03
Baptist HospitalFlorida (statewide)$2,3330.5×82025-12-23
Corewell Health Wayne HospitalDetroit MI$2,3630.6×12026-05-01
Corewell Health Farmington Hills HospitalDetroit MI$2,3650.6×12026-05-01
Corewell Health Trenton HospitalDetroit MI$2,3720.6×12026-05-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,3740.6×12026-05-01
Corewell Health Taylor HospitalMichigan (statewide)$2,3850.6×12026-05-01
Uf Health Leesburg HospitalFlorida (statewide)$2,4490.6×12026-03-31
Baptist Medical Center JacksonvilleFlorida (statewide)$2,5400.6×22026-02-06
Northeast Georgia Medical Center, IncGeorgia (statewide)$24,6266.2×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$24,6265.9×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$24,6265.9×22026-04-01
Parkview Whitley HospitalIndiana (statewide)$24,7175.7×12026-09-01
Parkview Lagrange HospitalIndiana (statewide)$24,9285.7×12026-09-01
Chi Health St FrancisNebraska (statewide)$28,1446.6×62026-02-28
Providence Alaska Medical CenterAlaska (statewide)$28,1486.1×22026-04-01
Parkview Regional Medical CenterIndiana (statewide)$28,6416.5×12026-09-01
Parkview Huntington HospitalIndiana (statewide)$28,6416.5×12026-09-01
Parkview HospitalTexas (statewide)$28,6416.9×12026-09-01
Stanford Health CareSan Francisco Bay Area CA$32,5345.3×22026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$33,3356.3×32025-11-26

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for corneal transplant (dsaek/dmek)?

Across 908 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 65756, hospital outpatient is $8,529, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,862 to $11,829. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for corneal transplant (dsaek/dmek)?

Medicare's national hospital outpatient rate for CPT 65756 is $4,223 and its surgery-center rate is $2,204, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for corneal transplant (dsaek/dmek)?

Lowest medians: Usa Health University Hospital ($2,150), King'S Daughters' Medical Center ($2,154), Chi Saint Joseph Berea Nf ($2,170). Highest: Cedars-Sinai Medical Center ($33,335), Stanford Health Care ($32,534), Parkview Hospital ($28,641). Coverage: every hospital whose price file we could read.