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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 Trnspl Endothelial

85 hospitals in 30 markets. National Medicare rate $4,223, surgery center $2,204.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$7,861–$7,861
Austin TX2———$3,666–$8,970
Boston MA7$5,687$6,038$6,490$5,138–$8,725
California (statewide)1———$22,690–$22,690
Chicago IL5$5,366$6,164$9,928$4,985–$13,687
Cleveland OH5$7,411$8,466$9,106$6,274–$9,535
Dallas-Fort Worth TX3———$11,700–$17,184
Denver CO7$6,572$7,493$7,828$5,727–$9,516
Detroit MI6$2,677$2,682$6,046$2,374–$8,789
Georgia (statewide)1———$8,655–$8,655
Houston TX1———$9,026–$9,026
Kansas (statewide)1———$9,418–$9,418
Las Vegas NV2———$4,820–$5,164
Los Angeles CA2———$18,272–$33,335
Nashville TN4———$3,649–$6,899
New York City2———$6,787–$14,557
Ohio (statewide)1———$8,156–$8,156
Pennsylvania (statewide)1———$14,488–$14,488
Philadelphia PA5$8,810$11,485$12,120$8,400–$13,727
Phoenix AZ3———$5,975–$6,514
Pittsburgh PA1———$10,792–$10,792
Portland OR6$17,644$17,644$21,408$17,644–$22,663
Richmond VA2———$9,041–$9,164
San Antonio TX1———$8,286–$8,286
San Francisco Bay Area CA1———$32,534–$32,534
Seattle-Tacoma WA6$14,376$14,452$15,024$10,953–$16,845
St. Louis MO1———$4,953–$4,953
Tampa FL2———$7,507–$9,238
Washington DC4———$7,587–$10,665
Wisconsin (statewide)1———$7,117–$7,117
HospitalMarketMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,3740.6×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,6770.7×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,6770.7×12026-05-01
Corewell Health Dearborn HospitalDetroit MI$2,6860.7×12026-05-01
Ascension Saint Thomas RutherfordNashville TN$3,6490.9×12026-01-01
Ascension Seton Medical Center AustinAustin TX$3,6660.9×12026-01-01
Vanderbilt University Medical CenterNashville TN$3,9831.0×82025-10-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$4,5101.1×22026-01-01
Henderson HospitalLas Vegas NV$4,8201.1×42026-09-01
Mercy Hospital St LouisSt. Louis MO$4,9531.2×12026-06-04
Endeavor Health Northwest Community HospitalChicago IL$4,9851.1×32026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$5,1381.0×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$5,1641.2×62026-07-01
Endeavor Health Edward HospitalChicago IL$5,3661.2×22026-04-01
New England Baptist HospitalBoston MA$5,5381.1×42026-04-01
Adventhealth PorterDenver CO$5,7271.3×42026-04-01
Adventhealth ParkerDenver CO$5,7271.3×42026-04-01
Winchester HospitalBoston MA$5,8361.2×32026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$5,9751.4×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$5,9751.4×52026-04-01
Beverly Hospital CorporationBoston MA$6,0381.2×32026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$6,0881.2×22026-04-01
Endeavor Health Elmhurst HospitalChicago IL$6,1641.4×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$6,2741.6×42026-07-14
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$6,5141.5×42026-04-01
Montefiore Medical CenterNew York City$6,7871.3×92026-04-01
Anna Jaques HospitalBoston MA$6,8921.4×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$6,8991.7×52026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$7,1171.7×32026-01-01
Harper University HospitalDetroit MI$7,1661.7×12026-09-02
Medina HospitalCleveland OH$7,4111.9×12026-06-15
HCA HealthONE SwedishDenver CO$7,4181.7×42026-09-01
HCA HealthONE Sky RidgeDenver CO$7,4931.7×42026-09-01
Tampa General HospitalTampa FL$7,5071.7×22026-04-01
George Washington Univ HospitalWashington DC$7,5871.6×32026-09-01
Hca Healthone RoseDenver CO$7,6801.8×42026-09-01
Emory University HospitalAtlanta GA$7,8611.9×62026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$7,9771.8×42026-09-01
Bethesda NorthOhio (statewide)$8,1562.0×42026-04-01
Methodist HospitalSan Antonio TX$8,2862.0×52026-09-01
Riddle Memorial HospitalPhiladelphia PA$8,4002.0×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$8,4662.2×12026-06-15
Emory Houston Hospital Warner RobinsGeorgia (statewide)$8,6552.4×32026-04-01
Beth Israel Deaconess Medical CenterBoston MA$8,7251.8×12026-04-01
Henry Ford Health Rochester HospitalDetroit MI$8,7892.1×12026-01-01
Bryn Mawr HospitalPhiladelphia PA$8,8102.1×22026-04-01
St David's Medical CenterAustin TX$8,9702.2×52026-09-01
Houston Methodist HospitalHouston TX$9,0262.2×42026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$9,0412.2×42026-09-01
Cleveland Clinic (main campus)Cleveland OH$9,1062.3×22026-06-16
Henrico Doctors' HospitalRichmond VA$9,1642.3×42026-09-01
Morton Plant HospitalTampa FL$9,2382.1×22026-01-01
Menorah Medical CenterKansas (statewide)$9,4182.4×52026-09-01
UCHealth University of Colorado HospitalDenver CO$9,5162.2×32025-11-01
Cleveland Clinic Hillcrest HospitalCleveland OH$9,5352.4×22026-06-15
Reston Hospital CenterWashington DC$9,6652.3×42026-09-01
Stonesprings Hospital CenterWashington DC$9,6812.3×42026-09-01
Endeavor Health Evanston HospitalChicago IL$9,9282.2×32026-04-01
Inova Alexandria HospitalWashington DC$10,6652.5×52026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$10,7922.7×12026-03-06
Overlake Hospital Medical CenterSeattle-Tacoma WA$10,9532.3×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$11,4852.7×32026-09-15
Medical City MckinneyDallas-Fort Worth TX$11,7002.8×52026-09-01
Jefferson Stratford HospitalPhiladelphia PA$12,1202.6×32026-09-15
Medical City PlanoDallas-Fort Worth TX$12,4353.0×52026-09-01
University of Chicago Medical CenterChicago IL$13,6873.1×22026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$13,7273.0×12026-03-24
St Clare HospitalSeattle-Tacoma WA$14,3763.0×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$14,3763.0×62026-02-28
Lehigh Valley HospitalPennsylvania (statewide)$14,4883.5×82026-07-01
Swedish Medical CenterSeattle-Tacoma WA$14,5273.0×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$14,5572.8×72026-01-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$15,1903.1×72026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$16,8453.5×62026-08-27
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$17,1844.1×22026-04-21
Legacy Emanuel Medical CenterPortland OR$17,6443.8×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$17,6443.8×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$17,6443.8×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$17,6443.8×52026-04-01
Keck Hospital Of UscLos Angeles CA$18,2723.4×52026-04-01
Providence St Vincent Medical CenterPortland OR$22,6634.9×32026-04-01
Providence Portland Medical CenterPortland OR$22,6634.9×32026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$22,6904.3×52026-09-01
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

Questions

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

Across 85 hospitals in 30 metro areas that post a usable dollar rate, the median commercial rate for CPT 65756, hospital outpatient is $8,655, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,088 to $12,120. 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: Corewell Health Beaumont Grosse Pointe Hospital ($2,374), Corewell Health William Beaumont University Hospit ($2,677), Corewell Health Beaumont Troy Hospital ($2,677). Highest: Cedars-Sinai Medical Center ($33,335), Stanford Health Care ($32,534), Los Robles Hospital & Medical Center ($22,690). Coverage is limited to the markets listed on this page.