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Eyelid surgery (upper blepharoplasty): what insurers pay

Removing excess upper-eyelid skin that blocks vision (15823) or tightening a drooping lid muscle (67904). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 15823: Blepharp Upr Eyelid Xcsv Skn

91 hospitals in 33 markets. National Medicare rate $2,108, surgery center $1,129.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,554–$5,554
Austin TX2———$1,558–$4,863
Boston MA7$2,830$2,956$3,227$2,678–$3,713
California (statewide)1———$7,368–$7,368
Chicago IL6$2,158$2,594$3,178$1,962–$4,908
Cleveland OH5$3,699$4,226$4,786$3,162–$9,488
Dallas-Fort Worth TX4———$4,544–$5,910
Denver CO7$3,336$4,110$4,273$2,596–$4,354
Detroit MI6$1,852$1,905$2,056$1,263–$5,812
Georgia (statewide)1———$5,051–$5,051
Houston TX1———$3,877–$3,877
Indianapolis IN1———$4,000–$4,000
Kansas (statewide)1———$6,962–$6,962
Las Vegas NV2———$3,514–$4,048
Los Angeles CA2———$7,563–$13,680
Miami-Fort Lauderdale FL1———$3,894–$3,894
Minneapolis-St. Paul MN1———$2,568–$2,568
Nashville TN4———$1,830–$4,082
New York City2———$5,616–$9,740
Ohio (statewide)1———$3,546–$3,546
Pennsylvania (statewide)1———$6,984–$6,984
Philadelphia PA5$6,299$10,110$10,400$6,077–$12,874
Phoenix AZ3———$3,585–$3,945
Pittsburgh PA1———$9,807–$9,807
Portland OR6$7,026$7,385$7,385$6,907–$7,385
Richmond VA2———$4,174–$4,205
San Antonio TX1———$3,521–$3,521
San Diego CA1———$2,654–$2,654
San Francisco Bay Area CA1———$13,980–$13,980
Seattle-Tacoma WA6$6,494$6,654$7,161$5,580–$7,402
Tampa FL2———$3,100–$5,611
Washington DC5$4,042$4,782$4,850$4,035–$6,164
Wisconsin (statewide)1———$2,183–$2,183
HospitalMarketMedian across insurers× MedicareInsurersFile date
Corewell Health Dearborn HospitalDetroit MI$1,2630.6×12026-05-01
Ascension Seton Medical Center AustinAustin TX$1,5580.8×12026-01-01
Vanderbilt University Medical CenterNashville TN$1,8300.9×72025-10-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$1,8340.9×22026-05-01
Corewell Health William Beaumont University HospitDetroit MI$1,9050.9×22026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$1,9050.9×22026-05-01
Endeavor Health Northwest Community HospitalChicago IL$1,9620.9×32026-04-01
Loyola University Medical CenterChicago IL$2,0150.9×12026-03-31
Henry Ford Health Rochester HospitalDetroit MI$2,1071.0×12026-01-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$2,1831.1×32026-01-01
Ascension Saint Thomas RutherfordNashville TN$2,3071.2×12026-01-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,5681.2×32026-03-31
Endeavor Health Evanston HospitalChicago IL$2,5851.2×32026-04-01
Adventhealth PorterDenver CO$2,5961.2×42026-04-01
Adventhealth ParkerDenver CO$2,5961.2×42026-04-01
Endeavor Health Edward HospitalChicago IL$2,6021.2×22026-04-01
Scripps Green HospitalSan Diego CA$2,6541.0×12026-03-30
Anna Jaques HospitalBoston MA$2,6781.1×42026-04-01
New England Baptist HospitalBoston MA$2,8301.1×42026-04-01
Winchester HospitalBoston MA$2,8301.1×32026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,9561.2×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,9711.2×22026-04-01
Tampa General HospitalTampa FL$3,1001.4×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$3,1621.6×42026-07-14
Endeavor Health Elmhurst HospitalChicago IL$3,3701.5×22026-04-01
Beverly Hospital CorporationBoston MA$3,4831.4×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,5141.6×62026-07-01
Methodist HospitalSan Antonio TX$3,5211.7×52026-09-01
Bethesda NorthOhio (statewide)$3,5461.8×42026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,5851.6×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,5851.6×52026-04-01
Medina HospitalCleveland OH$3,6991.9×12026-06-15
Beth Israel Deaconess Medical CenterBoston MA$3,7131.5×12026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$3,7331.9×22026-01-01
Houston Methodist HospitalHouston TX$3,8771.9×62026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$3,8941.8×12026-06-15
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,9451.8×42026-04-01
Riverview HealthIndianapolis IN$4,0001.8×22026-04-01
Reston Hospital CenterWashington DC$4,0351.9×42026-09-01
Stonesprings Hospital CenterWashington DC$4,0421.9×42026-09-01
Henderson HospitalLas Vegas NV$4,0481.9×42026-09-01
HCA HealthONE SwedishDenver CO$4,0751.9×42026-09-01
TriStar StoneCrest Medical CenterNashville TN$4,0822.1×52026-09-01
HCA HealthONE Sky RidgeDenver CO$4,1101.9×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$4,1742.1×42026-09-01
Hca Healthone RoseDenver CO$4,2001.9×42026-09-01
Henrico Doctors' HospitalRichmond VA$4,2052.1×42026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$4,2262.2×12026-06-15
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,3462.0×42026-09-01
UCHealth University of Colorado HospitalDenver CO$4,3542.0×32025-11-01
Baylor University Medical CenterDallas-Fort Worth TX$4,5442.2×32026-06-29
Medical City PlanoDallas-Fort Worth TX$4,7232.3×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$4,7232.3×52026-09-01
George Washington Univ HospitalWashington DC$4,7822.0×32026-09-01
Cleveland Clinic Hillcrest HospitalCleveland OH$4,7862.5×12026-06-15
Inova Alexandria HospitalWashington DC$4,8502.3×52026-04-01
St David's Medical CenterAustin TX$4,8632.4×52026-09-01
University of Chicago Medical CenterChicago IL$4,9082.2×22026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,0512.8×32026-04-01
Emory University HospitalAtlanta GA$5,5542.7×62026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$5,5802.3×52026-04-01
Morton Plant HospitalTampa FL$5,6112.6×32026-01-01
Montefiore Medical CenterNew York City$5,6162.2×92026-04-01
Harper University HospitalDetroit MI$5,8122.8×12026-09-02
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$5,9102.9×22026-04-21
Riddle Memorial HospitalPhiladelphia PA$6,0772.9×22026-04-01
Medstar Washington Hospital CenterWashington DC$6,1642.5×52026-04-01
Bryn Mawr HospitalPhiladelphia PA$6,2993.0×22026-04-01
St Clare HospitalSeattle-Tacoma WA$6,4942.7×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$6,4942.7×62026-02-28
Tacoma General Allenmore HospitalSeattle-Tacoma WA$6,8132.8×72026-08-27
Providence St Vincent Medical CenterPortland OR$6,9073.0×22026-04-01
Providence Portland Medical CenterPortland OR$6,9073.0×22026-04-01
Menorah Medical CenterKansas (statewide)$6,9623.6×52026-09-01
Lehigh Valley HospitalPennsylvania (statewide)$6,9843.3×72026-07-01
Swedish Medical CenterSeattle-Tacoma WA$7,2773.0×52026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$7,3682.8×42026-09-01
Legacy Emanuel Medical CenterPortland OR$7,3853.2×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$7,3853.2×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$7,3853.2×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$7,3853.2×52026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$7,4023.1×62026-08-27
Keck Hospital Of UscLos Angeles CA$7,5632.9×52026-04-01
Cleveland Clinic (main campus)Cleveland OH$9,4884.9×22026-06-16
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,7403.8×72026-01-01
Upmc Presbyterian ShadysidePittsburgh PA$9,8074.9×12026-03-06
Thomas Jefferson University HospitalPhiladelphia PA$10,1104.8×32026-09-15
Jefferson Stratford HospitalPhiladelphia PA$10,4004.5×32026-09-15
Inspira Medical Center Mullica HillPhiladelphia PA$12,8745.5×12026-03-24
Cedars-Sinai Medical CenterLos Angeles CA$13,6805.2×22025-11-26
Stanford Health CareSan Francisco Bay Area CA$13,9804.6×22026-04-01

CPT 67904: Repair Eyelid Defect

91 hospitals in 34 markets. National Medicare rate $2,429, surgery center $1,088.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,024–$5,024
Austin TX2———$1,858–$5,883
Boston MA7$3,030$3,095$3,120$2,906–$4,345
California (statewide)1———$13,497–$13,497
Chicago IL6$3,449$3,898$5,238$2,142–$6,965
Cleveland OH5$4,263$4,869$5,515$3,016–$7,948
Dallas-Fort Worth TX4———$5,419–$7,818
Denver CO7$3,706$4,633$4,810$2,853–$5,980
Detroit MI6$1,881$1,939$1,950$1,356–$5,812
Georgia (statewide)1———$5,051–$5,051
Houston TX1———$4,055–$4,055
Kansas (statewide)1———$7,154–$7,154
Las Vegas NV2———$2,986–$3,622
Los Angeles CA2———$8,770–$14,342
Miami-Fort Lauderdale FL1———$3,894–$3,894
Minneapolis-St. Paul MN1———$3,092–$3,092
Nashville TN4———$2,307–$4,082
New York (statewide)1———$5,783–$5,783
New York City2———$6,353–$9,025
Ohio (statewide)1———$4,634–$4,634
Pennsylvania (statewide)1———$8,569–$8,569
Philadelphia PA5$5,840$9,022$9,630$5,567–$13,320
Phoenix AZ3———$3,770–$3,778
Pittsburgh PA1———$6,197–$6,197
Portland OR6$10,388$11,261$11,261$10,097–$11,261
Richmond VA2———$6,884–$6,884
San Antonio TX1———$4,199–$4,199
San Diego CA1———$3,058–$3,058
San Francisco Bay Area CA1———$21,994–$21,994
Seattle-Tacoma WA6$7,918$8,134$9,429$7,116–$10,336
St. Louis MO1———$4,953–$4,953
Tampa FL2———$4,116–$6,291
Washington DC4———$4,209–$6,158
Wisconsin (statewide)1———$4,744–$4,744
HospitalMarketMedian across insurers× MedicareInsurersFile date
Corewell Health Dearborn HospitalDetroit MI$1,3560.6×12026-05-01
Ascension Seton Medical Center AustinAustin TX$1,8580.8×12026-01-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$1,8620.8×22026-05-01
Corewell Health William Beaumont University HospitDetroit MI$1,9390.8×22026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$1,9390.8×22026-05-01
Henry Ford Health Rochester HospitalDetroit MI$1,9540.8×12026-01-01
Loyola University Medical CenterChicago IL$2,1420.8×12026-03-31
Ascension Saint Thomas RutherfordNashville TN$2,3071.0×12026-01-01
Vanderbilt University Medical CenterNashville TN$2,3101.0×82025-10-01
Adventhealth PorterDenver CO$2,8531.1×42026-04-01
Adventhealth ParkerDenver CO$2,8531.1×42026-04-01
Winchester HospitalBoston MA$2,9061.0×32026-04-01
New England Baptist HospitalBoston MA$2,9691.0×42026-04-01
Henderson HospitalLas Vegas NV$2,9861.2×42026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$3,0161.3×42026-07-14
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$3,0521.3×22026-01-01
Scripps Green HospitalSan Diego CA$3,0581.0×12026-03-30
Beth Israel Deaconess Hospital - PlymouthBoston MA$3,0901.1×22026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$3,0921.2×32026-03-31
Beverly Hospital CorporationBoston MA$3,0951.1×42026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$3,1061.1×22026-04-01
Anna Jaques HospitalBoston MA$3,1341.1×42026-04-01
Endeavor Health Edward HospitalChicago IL$3,3481.3×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,6221.4×62026-07-01
Endeavor Health Northwest Community HospitalChicago IL$3,7511.5×32026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,7701.5×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,7701.5×52026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,7781.5×42026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$3,8941.6×12026-06-15
Endeavor Health Elmhurst HospitalChicago IL$4,0461.6×22026-04-01
Houston Methodist HospitalHouston TX$4,0551.7×62026-04-01
TriStar StoneCrest Medical CenterNashville TN$4,0821.8×52026-09-01
Tampa General HospitalTampa FL$4,1161.7×32026-04-01
Methodist HospitalSan Antonio TX$4,1991.8×52026-09-01
George Washington Univ HospitalWashington DC$4,2091.5×32026-09-01
Medina HospitalCleveland OH$4,2631.9×12026-06-15
Beth Israel Deaconess Medical CenterBoston MA$4,3451.5×22026-04-01
HCA HealthONE SwedishDenver CO$4,5591.8×42026-09-01
HCA HealthONE Sky RidgeDenver CO$4,6331.9×42026-09-01
Bethesda NorthOhio (statewide)$4,6342.0×42026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7442.0×32026-01-01
Hca Healthone RoseDenver CO$4,7621.9×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,8571.9×42026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$4,8692.2×12026-06-15
Mercy Hospital St LouisSt. Louis MO$4,9532.1×12026-06-04
Reston Hospital CenterWashington DC$4,9882.0×42026-09-01
Stonesprings Hospital CenterWashington DC$4,9952.0×42026-09-01
Emory University HospitalAtlanta GA$5,0242.1×62026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,0512.4×32026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$5,4192.3×32026-06-29
Cleveland Clinic Hillcrest HospitalCleveland OH$5,5152.5×12026-06-15
Riddle Memorial HospitalPhiladelphia PA$5,5672.3×22026-04-01
Endeavor Health Evanston HospitalChicago IL$5,6362.2×32026-04-01
Medical City PlanoDallas-Fort Worth TX$5,6402.4×52026-09-01
Stony Brook University HospitalNew York (statewide)$5,7831.9×52026-06-10
Harper University HospitalDetroit MI$5,8122.5×12026-09-02
Bryn Mawr HospitalPhiladelphia PA$5,8402.4×22026-04-01
St David's Medical CenterAustin TX$5,8832.5×52026-09-01
UCHealth University of Colorado HospitalDenver CO$5,9802.4×32025-11-01
Inova Alexandria HospitalWashington DC$6,1582.5×52026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$6,1972.7×12026-03-06
Morton Plant HospitalTampa FL$6,2912.5×32026-01-01
Montefiore Medical CenterNew York City$6,3532.1×92026-04-01
Medical City MckinneyDallas-Fort Worth TX$6,7942.9×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$6,8843.0×42026-09-01
Henrico Doctors' HospitalRichmond VA$6,8843.0×42026-09-01
University of Chicago Medical CenterChicago IL$6,9652.7×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$7,1162.6×52026-04-01
Menorah Medical CenterKansas (statewide)$7,1543.2×52026-09-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$7,8183.3×22026-04-21
St Clare HospitalSeattle-Tacoma WA$7,9182.9×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$7,9182.9×62026-02-28
Cleveland Clinic (main campus)Cleveland OH$7,9483.5×12026-06-16
Swedish Medical CenterSeattle-Tacoma WA$8,3493.0×52026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$8,5693.5×62026-07-01
Keck Hospital Of UscLos Angeles CA$8,7702.9×52026-04-01
Jefferson Stratford HospitalPhiladelphia PA$9,0223.4×32026-09-15
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,0253.0×72026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$9,6303.9×32026-09-15
Tacoma General Allenmore HospitalSeattle-Tacoma WA$9,7893.5×52026-08-27
Providence St Vincent Medical CenterPortland OR$10,0973.8×22026-04-01
Providence Portland Medical CenterPortland OR$10,0973.8×22026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$10,3363.7×42026-08-27
Legacy Emanuel Medical CenterPortland OR$11,2614.3×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$11,2614.3×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$11,2614.3×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$11,2614.3×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$13,3205.0×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$13,4974.4×52026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$14,3424.7×12025-11-26
Stanford Health CareSan Francisco Bay Area CA$21,9946.3×22026-04-01

Questions

How much do commercial insurers pay hospitals for eyelid surgery (upper blepharoplasty)?

Across 91 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 15823, hospital outpatient is $4,200, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,131 to $6,397. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for eyelid surgery (upper blepharoplasty)?

Medicare's national hospital outpatient rate for CPT 15823 is $2,108 and its surgery-center rate is $1,129, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for eyelid surgery (upper blepharoplasty)?

Lowest medians: Corewell Health Dearborn Hospital ($1,263), Ascension Seton Medical Center Austin ($1,558), Vanderbilt University Medical Center ($1,830). Highest: Stanford Health Care ($13,980), Cedars-Sinai Medical Center ($13,680), Inspira Medical Center Mullica Hill ($12,874). Coverage is limited to the markets listed on this page.