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Eyelid surgery (upper blepharoplasty) in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 15823

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$6,0772.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,2993.0×22026-04-01
Lehigh Valley Hospital Allentown$6,9843.3×72026-07-01
Upmc Presbyterian Shadyside Pittsburgh$9,8074.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$10,1104.8×32026-09-15

CPT 67904

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$5,5672.3×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,8402.4×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$6,1972.7×12026-03-06
Lehigh Valley Hospital Allentown$8,5693.5×62026-07-01
Thomas Jefferson University Hospital Philadelphia$9,6303.9×32026-09-15

Questions

How much do insurers pay for eyelid surgery (upper blepharoplasty) in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for eyelid surgery (upper blepharoplasty) in their federal price-transparency files. For CPT 15823, hospital outpatient, the median across 5 hospitals is $6,984, 3.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.