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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: Eyelid Surgery (Upper Blepharoplasty)

1016 hospitals in 76 markets. National Medicare rate $2,108, surgery center $1,129.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)10$2,346$2,516$3,050$1,910–$4,000
Alaska (statewide)4———$1,942–$13,763
Arizona (statewide)8$2,770$3,954$4,675$1,306–$8,493
Arkansas (statewide)6$1,819$2,310$2,501$1,582–$6,500
Atlanta GA6$5,554$5,554$5,663$5,554–$5,699
Austin TX13$1,558$3,490$3,490$1,558–$5,082
Boston MA12$2,902$3,426$3,672$1,720–$4,640
California (statewide)54$4,746$5,476$6,922$2,478–$9,858
Charlotte NC5$2,175$2,175$2,175$2,145–$2,175
Chicago IL9$2,283$2,602$3,622$1,962–$4,908
Cleveland OH11$3,040$3,466$3,904$2,147–$8,326
Colorado (statewide)16$2,747$3,994$6,092$1,338–$7,578
Connecticut (statewide)1———$6,108–$6,108
Dallas-Fort Worth TX11$3,808$4,138$4,491$2,923–$5,828
Denver CO15$2,893$4,179$4,857$2,112–$6,274
Detroit MI13$1,907$2,551$2,551$1,066–$5,812
Florida (statewide)59$2,820$3,808$4,549$1,212–$11,376
Georgia (statewide)26$2,852$4,514$5,699$1,956–$16,442
Hawaii (statewide)2———$2,276–$6,084
Houston TX19$2,979$3,080$4,075$2,748–$4,261
Idaho (statewide)12$1,967$2,026$4,616$1,726–$5,525
Illinois (statewide)24$2,804$3,524$3,740$2,206–$5,434
Indiana (statewide)25$2,996$3,940$6,152$1,829–$8,220
Indianapolis IN1———$4,000–$4,000
Iowa (statewide)14$3,234$3,744$4,404$1,060–$11,294
Kansas (statewide)14$2,079$3,361$5,072$1,620–$6,962
Kentucky (statewide)16$2,469$3,198$3,710$1,917–$6,148
Las Vegas NV2———$3,010–$3,802
Los Angeles CA17$5,120$5,581$6,644$3,346–$13,680
Louisiana (statewide)20$1,911$2,459$4,298$1,400–$5,510
Maine (statewide)15$7,495$8,597$8,702$4,745–$10,941
Massachusetts (statewide)3———$2,308–$4,732
Miami-Fort Lauderdale FL1———$3,654–$3,654
Michigan (statewide)23$1,978$2,213$2,623$1,154–$3,822
Minneapolis-St. Paul MN8$3,175$3,192$3,247$2,568–$3,938
Minnesota (statewide)11$4,534$5,634$6,474$3,192–$8,059
Mississippi (statewide)12$1,064$2,637$3,180$1,064–$5,627
Missouri (statewide)12$3,270$4,080$6,962$2,923–$6,962
Montana (statewide)3———$3,836–$5,632
Nashville TN8$2,750$3,696$3,882$2,307–$3,958
Nebraska (statewide)14$3,241$4,252$11,294$1,204–$13,538
Nevada (statewide)3———$3,802–$4,048
New Hampshire (statewide)6$6,896$9,120$9,755$5,345–$10,618
New Jersey (statewide)13$2,335$3,560$4,216$2,154–$12,874
New Mexico (statewide)6$4,210$5,192$6,420$1,930–$7,164
New York (statewide)31$2,309$3,280$4,584$1,494–$8,204
New York City7$2,324$2,331$4,838$2,318–$9,084
North Carolina (statewide)5$2,577$2,601$5,470$2,108–$5,626
North Dakota (statewide)5$3,220$4,143$4,167$3,165–$6,540
Ohio (statewide)37$3,080$4,396$5,728$1,281–$7,930
Oklahoma (statewide)14$1,539$3,317$4,020$1,038–$7,937
Oregon (statewide)7$4,685$5,294$7,387$4,634–$9,262
Pennsylvania (statewide)35$3,722$5,114$6,978$2,181–$9,491
Philadelphia PA11$6,056$6,250$8,373$3,742–$12,874
Phoenix AZ8$3,585$3,765$3,970$3,585–$4,045
Pittsburgh PA8$3,520$3,771$4,154$2,671–$5,887
Portland OR9$7,804$8,870$8,870$7,804–$9,000
Rhode Island (statewide)3———$4,099–$7,245
Richmond VA3———$4,575–$4,872
Rio Grande Valley TX3———$2,660–$4,479
Salt Lake City UT9$2,123$2,144$2,144$1,660–$2,144
San Antonio TX3———$2,620–$3,315
San Diego CA6$4,511$4,511$4,555$4,511–$4,893
San Francisco Bay Area CA4———$6,730–$13,980
Seattle-Tacoma WA16$6,047$6,102$6,558$5,470–$7,277
South Carolina (statewide)18$4,533$5,456$6,897$1,914–$8,667
South Dakota (statewide)3———$2,827–$10,048
Tampa FL6$5,611$5,611$5,611$3,100–$11,463
Tennessee (statewide)20$2,138$2,218$3,144$1,879–$3,958
Texas (statewide)73$2,591$2,979$4,075$1,558–$8,220
Utah (statewide)6$1,680$1,882$2,023$1,660–$2,144
Virginia (statewide)18$5,405$5,916$6,620$3,520–$7,742
Washington (statewide)12$4,642$4,996$6,086$1,870–$9,493
Washington DC10$3,827$3,878$4,656$3,827–$5,594
West Virginia (statewide)8$3,342$3,584$6,882$2,030–$13,736
Wisconsin (statewide)35$3,654$6,374$7,250$2,183–$8,990

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension St John Medical CenterOklahoma (statewide)$1,0380.5×12026-01-01
Waverly Health CenterIowa (statewide)$1,0600.5×22026-03-03
Ochsner Rush HospitalMississippi (statewide)$1,0640.6×82026-04-01
Ochsner Watkins HospitalMississippi (statewide)$1,0640.6×82026-04-01
Ochsner Laird HospitalMississippi (statewide)$1,0640.6×82026-04-01
Ochsner Stennis Memorial HospitalMississippi (statewide)$1,0640.6×82026-04-01
Henry Ford Health HospitalDetroit MI$1,0660.5×92026-06-28
Oaklawn HospitalMichigan (statewide)$1,1540.6×22026-03-27
Ascension St John Jane PhillipsOklahoma (statewide)$1,1900.6×12026-01-01
Ascension St John NowataOklahoma (statewide)$1,1900.6×12026-01-01
Holland HospitalMichigan (statewide)$1,1940.6×62026-09-21
Mary Lanning HealthcareNebraska (statewide)$1,2040.6×12026-09-21
Chi Health LakesideNebraska (statewide)$11,2945.3×62026-02-28
Tampa General Hospital Crystal RiverFlorida (statewide)$11,3765.3×32026-04-01
Tampa General Hospital BrooksvilleTampa FL$11,4635.3×32026-04-01
Inspira Medical Center VinelandNew Jersey (statewide)$12,8745.5×12026-03-24
Inspira Medical Center Mullica HillPhiladelphia PA$12,8745.5×12026-03-24
Chi Health Good SamaritanNebraska (statewide)$13,5386.3×62026-02-28
Cedars-Sinai Medical CenterLos Angeles CA$13,6805.2×22025-11-26
Logan Regional Medical CenterWest Virginia (statewide)$13,7366.9×12026-04-01
Providence Alaska Medical CenterAlaska (statewide)$13,7636.0×12026-04-01
Stanford Health CareSan Francisco Bay Area CA$13,9804.6×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$16,4427.9×12026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$16,4427.9×12026-04-01

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

CPT 67904: Eyelid Surgery (Upper Blepharoplasty)

966 hospitals in 76 markets. National Medicare rate $2,429, surgery center $1,088.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)7$2,384$3,000$3,865$1,157–$8,905
Alaska (statewide)3———$2,110–$13,829
Arizona (statewide)6$3,019$4,231$5,307$2,487–$7,469
Arkansas (statewide)5$2,240$2,314$3,225$1,577–$4,786
Atlanta GA6$5,024$5,024$5,890$5,024–$6,179
Austin TX13$1,858$4,352$5,019$1,858–$5,460
Boston MA11$3,275$3,476$4,053$2,073–$7,404
California (statewide)53$4,969$6,884$8,828$2,106–$13,497
Charlotte NC5$2,774$2,774$2,774$2,736–$2,774
Chicago IL10$3,449$4,148$6,633$2,142–$7,295
Cleveland OH11$2,855$3,402$3,994$2,474–$5,211
Colorado (statewide)15$3,686$4,896$6,187$1,712–$10,181
Connecticut (statewide)1———$6,002–$6,002
Dallas-Fort Worth TX9$5,023$5,381$5,573$4,860–$9,238
Denver CO15$2,977$5,270$5,736$2,198–$6,896
Detroit MI13$1,954$2,526$2,670$1,407–$5,812
Florida (statewide)58$3,554$5,212$5,829$1,322–$12,419
Georgia (statewide)26$4,059$5,454$6,179$1,968–$16,888
Hawaii (statewide)2———$2,904–$3,042
Houston TX17$4,128$4,250$4,250$3,308–$5,052
Idaho (statewide)12$2,035$2,368$5,348$2,035–$7,080
Illinois (statewide)26$3,275$4,244$5,645$2,552–$7,295
Indiana (statewide)26$3,470$5,140$6,673$2,274–$11,523
Iowa (statewide)12$3,560$4,082$5,082$1,254–$9,875
Kansas (statewide)9$4,100$5,467$5,562$2,770–$12,936
Kentucky (statewide)15$2,968$3,796$4,071$2,278–$6,295
Las Vegas NV2———$2,986–$3,010
Los Angeles CA17$5,504$6,742$7,581$5,080–$14,342
Louisiana (statewide)22$2,411$3,059$3,994$1,935–$6,349
Maine (statewide)15$9,559$10,965$11,098$5,880–$13,953
Massachusetts (statewide)2———$2,532–$3,863
Miami-Fort Lauderdale FL1———$4,125–$4,125
Michigan (statewide)23$1,844$2,424$2,589$1,386–$3,366
Minneapolis-St. Paul MN8$3,824$3,824$4,382$3,092–$4,518
Minnesota (statewide)11$5,804$7,209$7,937$3,824–$10,327
Mississippi (statewide)9$1,560$1,560$3,330$1,560–$4,580
Missouri (statewide)15$3,320$5,023$7,362$1,678–$9,202
Montana (statewide)3———$4,677–$6,899
Nashville TN8$3,658$3,910$3,964$2,307–$4,364
Nebraska (statewide)11$5,115$9,875$9,875$2,986–$19,149
Nevada (statewide)3———$2,986–$2,986
New Hampshire (statewide)6$8,032$8,713$10,214$2,619–$10,646
New Jersey (statewide)13$2,747$4,522$4,858$2,707–$13,320
New Mexico (statewide)4———$2,462–$7,847
New York (statewide)30$3,155$4,063$5,306$1,905–$8,204
New York City7$3,225$3,225$4,811$2,968–$8,782
North Carolina (statewide)3———$2,209–$6,303
North Dakota (statewide)5$4,126$5,284$5,339$4,036–$6,540
Ohio (statewide)34$2,922$4,593$6,351$1,358–$8,482
Oklahoma (statewide)14$1,536$4,176$5,593$1,146–$11,390
Oregon (statewide)6$5,974$6,279$7,934$5,339–$10,728
Pennsylvania (statewide)28$3,900$6,292$8,260$2,261–$12,224
Philadelphia PA11$5,673$5,898$7,610$4,580–$13,320
Phoenix AZ8$3,726$3,770$3,772$3,592–$3,778
Pittsburgh PA8$2,968$4,228$4,938$2,379–$5,872
Portland OR9$9,347$10,400$10,400$9,347–$10,830
Rhode Island (statewide)3———$4,628–$8,858
Richmond VA3———$6,884–$8,137
Rio Grande Valley TX3———$3,058–$5,830
Salt Lake City UT9$2,375$2,400$2,400$2,127–$2,434
San Antonio TX3———$3,464–$4,773
San Diego CA4———$5,198–$5,198
San Francisco Bay Area CA4———$7,098–$21,994
Seattle-Tacoma WA16$7,197$7,462$8,256$6,646–$9,260
South Carolina (statewide)17$7,494$9,334$9,839$1,914–$10,918
South Dakota (statewide)5$3,622$7,548$7,688$3,611–$11,729
St. Louis MO1———$3,234–$3,234
Tampa FL6$6,291$6,291$6,291$3,876–$13,208
Tennessee (statewide)20$2,561$3,036$3,844$1,993–$3,960
Texas (statewide)68$2,896$4,575$5,023$1,858–$8,220
Utah (statewide)6$2,127$2,264$2,635$2,056–$2,713
Virginia (statewide)18$7,301$8,403$9,050$5,146–$10,558
Washington (statewide)12$6,391$6,834$7,974$2,395–$12,211
Washington DC9$5,866$5,866$5,866$5,051–$6,822
West Virginia (statewide)4———$2,590–$9,446
Wisconsin (statewide)33$4,969$7,651$7,651$2,663–$9,640

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension St John Medical CenterOklahoma (statewide)$1,1460.5×12026-01-01
Usa Health University HospitalAlabama (statewide)$1,1570.5×12026-04-30
Waverly Health CenterIowa (statewide)$1,2540.6×22026-03-03
Ascension St John Jane PhillipsOklahoma (statewide)$1,3140.6×12026-01-01
Ascension St John NowataOklahoma (statewide)$1,3140.6×12026-01-01
Uf Health Leesburg HospitalFlorida (statewide)$1,3220.5×12026-03-31
Ascension St John OwassoOklahoma (statewide)$1,3290.6×12026-01-01
Baptist Medical Center JacksonvilleFlorida (statewide)$1,3500.5×22026-02-06
Baptist Medical Center - BeachesFlorida (statewide)$1,3500.5×22026-02-06
Baptist Medical Center - NassauFlorida (statewide)$1,3500.5×22026-02-06
Selby General HospitalOhio (statewide)$1,3580.6×12026-10-01
Holland HospitalMichigan (statewide)$1,3860.6×62026-09-21
Inspira Medical Center VinelandNew Jersey (statewide)$13,3205.0×12026-03-24
Inspira Medical Center Mullica HillPhiladelphia PA$13,3205.0×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$13,4974.4×52026-09-01
Providence Alaska Medical CenterAlaska (statewide)$13,8295.2×12026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$13,9536.0×12025-09-09
Cedars-Sinai Medical CenterLos Angeles CA$14,3424.7×12025-11-26
Northeast Georgia Medical Center HabershamGeorgia (statewide)$16,4427.9×12026-04-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$16,8887.4×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$16,8887.1×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$16,8887.1×22026-04-01
Chi Health St FrancisNebraska (statewide)$19,1497.8×52026-02-28
Stanford Health CareSan Francisco Bay Area CA$21,9946.3×22026-04-01

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 eyelid surgery (upper blepharoplasty)?

Across 1016 hospitals in 76 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 15823, hospital outpatient is $3,934, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,722 to $5,611. 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: Ascension St John Medical Center ($1,038), Waverly Health Center ($1,060), Ochsner Rush Hospital ($1,064). Highest: Northeast Georgia Medical Center Lumpkin ($16,442), Northeast Georgia Medical Center Barrow ($16,442), Stanford Health Care ($13,980). Coverage: every hospital whose price file we could read.