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Glaucoma laser (SLT): what insurers pay

Laser trabeculoplasty to improve fluid drainage and lower eye pressure. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 65855: Glaucoma Laser (Slt)

971 hospitals in 77 markets. National Medicare rate $562, surgery center $141.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)8$469$552$917$345–$2,088
Alaska (statewide)3———$398–$4,523
Arizona (statewide)4———$374–$2,480
Arkansas (statewide)4———$535–$1,419
Atlanta GA6$2,734$3,590$3,590$2,448–$3,590
Austin TX13$545$1,133$2,260$532–$2,260
Boston MA11$979$1,195$1,330$544–$1,486
California (statewide)55$990$2,052$2,076$433–$5,119
Charlotte NC5$652$652$652$643–$652
Chicago IL10$845$1,505$2,208$678–$3,314
Cleveland OH11$657$924$1,620$572–$2,560
Colorado (statewide)13$1,532$2,238$2,605$551–$2,828
Connecticut (statewide)2———$840–$3,362
Dallas-Fort Worth TX14$826$1,901$2,000$826–$2,157
Denver CO15$1,639$2,353$2,538$1,296–$3,350
Detroit MI14$509$592$704$293–$2,055
Florida (statewide)65$1,154$2,010$2,350$405–$3,509
Georgia (statewide)23$2,085$2,448$2,562$1,022–$3,590
Hawaii (statewide)2———$682–$715
Houston TX17$1,344$2,128$2,504$842–$2,956
Idaho (statewide)10$282$540$943$282–$1,761
Illinois (statewide)28$952$1,510$1,728$378–$3,811
Indiana (statewide)32$438$956$1,742$370–$4,500
Indianapolis IN4———$405–$428
Iowa (statewide)12$958$1,112$1,250$398–$3,262
Kansas (statewide)11$634$1,300$2,246$304–$2,794
Kentucky (statewide)13$862$994$1,616$741–$3,338
Las Vegas NV1———$1,588–$1,588
Los Angeles CA16$1,880$2,139$2,391$1,003–$3,591
Louisiana (statewide)19$662$734$949$507–$1,556
Maine (statewide)15$2,248$2,578$2,610$1,439–$3,281
Massachusetts (statewide)3———$1,042–$2,066
Miami-Fort Lauderdale FL1———$1,024–$1,024
Michigan (statewide)25$293$548$578$293–$921
Minneapolis-St. Paul MN8$1,864$1,983$2,180$1,204–$2,708
Minnesota (statewide)12$1,709$1,913$2,254$1,341–$2,760
Mississippi (statewide)10$510$746$1,197$510–$2,600
Missouri (statewide)13$535$1,882$2,166$311–$4,402
Montana (statewide)3———$1,138–$1,732
Nashville TN8$979$1,689$2,462$736–$2,462
Nebraska (statewide)10$1,613$3,262$3,262$618–$3,909
New Hampshire (statewide)5$2,126$2,214$2,540$1,858–$3,548
New Jersey (statewide)17$824$1,386$1,428$608–$3,096
New Mexico (statewide)5$1,084$1,195$1,752$579–$1,844
New York (statewide)32$1,206$1,512$2,127$346–$4,958
New York City7$2,126$2,136$2,862$994–$3,890
North Carolina (statewide)2———$734–$1,405
North Dakota (statewide)5$1,026$1,243$1,328$949–$2,052
Ohio (statewide)35$880$1,348$1,897$461–$2,762
Oklahoma (statewide)13$794$1,044$1,217$267–$3,096
Oregon (statewide)7$1,404$1,613$2,110$1,235–$2,564
Pennsylvania (statewide)22$1,002$1,720$2,122$559–$2,685
Philadelphia PA8$2,490$2,664$3,834$2,156–$4,440
Phoenix AZ8$2,064$2,272$2,595$2,064–$2,940
Pittsburgh PA5$559$559$772$510–$794
Portland OR9$2,282$2,364$2,364$2,282–$2,698
Rhode Island (statewide)3———$1,646–$2,599
Richmond VA3———$2,772–$3,138
Rio Grande Valley TX3———$1,343–$2,650
Salt Lake City UT9$574$574$574$529–$574
San Antonio TX3———$901–$2,016
San Diego CA4———$1,203–$1,203
San Francisco Bay Area CA4———$971–$5,074
Seattle-Tacoma WA16$1,806$1,936$1,945$1,453–$2,040
South Carolina (statewide)15$1,109$1,776$2,599$683–$3,068
South Dakota (statewide)2———$901–$2,301
St. Louis MO1———$4,587–$4,587
Tampa FL6$2,059$2,059$2,059$1,297–$2,962
Tennessee (statewide)22$947$1,207$1,513$570–$2,682
Texas (statewide)65$950$1,864$2,000$435–$3,573
Utah (statewide)6$530$554$574$529–$574
Vermont (statewide)1———$425–$425
Virginia (statewide)17$1,754$2,728$3,408$1,550–$3,408
Washington (statewide)12$1,418$1,584$1,888$316–$2,966
Washington DC9$2,369$2,369$2,369$1,761–$2,685
West Virginia (statewide)6$772$863$974$609–$2,221
Wisconsin (statewide)35$1,464$2,182$2,182$573–$4,127

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Creek Nation Community HospitalOklahoma (statewide)$2670.5×12026-01-24
St Luke'S Nampa Medical CenterIdaho (statewide)$2820.5×72026-03-25
St Luke'S Elmore Medical CenterIdaho (statewide)$2820.5×72026-03-25
St Luke'S JeromeIdaho (statewide)$2820.5×72026-03-25
Intermountain Health Cassia Regional HospitalIdaho (statewide)$2820.5×12026-08-05
Mclaren Northern MichiganMichigan (statewide)$2930.5×32025-12-31
Mclaren FlintMichigan (statewide)$2930.5×32025-12-31
Mclaren Greater LansingMichigan (statewide)$2930.5×32025-12-31
Mclaren Lapeer RegionDetroit MI$2930.5×32025-12-31
Mclaren Port HuronDetroit MI$2930.5×32025-12-31
Mclaren OaklandMichigan (statewide)$2930.5×32025-12-31
Mclaren MacombMichigan (statewide)$2930.5×32025-12-31
Bryn Mawr HospitalPhiladelphia PA$4,0387.2×22026-04-01
River Falls Area HospitalWisconsin (statewide)$4,1277.2×32026-06-15
Good Samaritan HospitalSan Francisco Bay Area CA$4,1855.2×62026-09-01
Parkland Health Center - Bonne TerreMissouri (statewide)$4,4028.0×22025-12-15
Jefferson Stratford HospitalPhiladelphia PA$4,4407.2×12026-09-15
Schneck Medical CenterIndiana (statewide)$4,5007.7×12024-01-24
Providence Alaska Medical CenterAlaska (statewide)$4,5237.4×12026-04-01
Rady Children'S Hospital - San DiegoCalifornia (statewide)$4,5636.5×32026-04-01
Alton Memorial HospitalSt. Louis MO$4,5877.8×32025-12-15
Stony Brook University HospitalNew York (statewide)$4,9587.2×52026-06-10
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$5,0746.5×42026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$5,1197.2×12026-09-01

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 glaucoma laser (slt)?

Across 971 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 65855, hospital outpatient is $1,630, 2.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $870 to $2,248. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for glaucoma laser (slt)?

Medicare's national hospital outpatient rate for CPT 65855 is $562 and its surgery-center rate is $141, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for glaucoma laser (slt)?

Lowest medians: Creek Nation Community Hospital ($267), St Luke'S Nampa Medical Center ($282), St Luke'S Elmore Medical Center ($282). Highest: Los Robles Hospital & Medical Center ($5,119), Stanford Health Care Tri-Valley ($5,074), Stony Brook University Hospital ($4,958). Coverage: every hospital whose price file we could read.