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Eye muscle surgery (strabismus): what insurers pay

Adjusting one horizontal eye muscle to straighten crossed or drifting eyes. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 67311: Eye Muscle Surgery (Strabismus)

917 hospitals in 75 markets. National Medicare rate $2,429, surgery center $1,088.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)8$2,475$3,680$4,023$1,157–$7,004
Alaska (statewide)3———$2,111–$15,112
Arizona (statewide)5$2,766$3,418$3,523$1,492–$6,047
Arkansas (statewide)5$2,079$2,086$2,234$1,636–$4,000
Atlanta GA6$4,975$4,975$5,600$4,975–$5,809
Austin TX13$1,858$4,017$4,836$1,858–$5,126
Boston MA11$3,313$3,476$3,898$2,222–$4,554
California (statewide)52$4,966$6,884$8,828$1,948–$12,482
Charlotte NC5$2,774$2,774$2,774$2,736–$2,774
Chicago IL9$3,246$5,636$6,965$2,125–$7,295
Cleveland OH11$2,824$3,252$4,002$2,453–$5,515
Colorado (statewide)13$3,896$4,923$6,030$1,378–$9,563
Connecticut (statewide)1———$5,370–$5,370
Dallas-Fort Worth TX8$5,292$5,468$5,641$5,023–$9,238
Denver CO15$2,546$5,182$5,736$1,636–$6,648
Detroit MI13$3,089$3,089$4,400$1,294–$5,812
Florida (statewide)58$3,554$5,212$5,829$1,477–$8,690
Georgia (statewide)25$4,020$5,400$5,809$1,900–$16,285
Hawaii (statewide)2———$2,904–$3,042
Houston TX17$3,976$4,093$4,250$3,308–$4,538
Idaho (statewide)12$2,035$2,368$5,348$2,035–$7,080
Illinois (statewide)22$3,283$4,921$6,305$2,548–$7,295
Indiana (statewide)24$3,374$5,040$6,314$1,905–$8,476
Iowa (statewide)12$3,544$4,362$5,082$1,204–$8,645
Kansas (statewide)10$1,813$3,540$5,306$1,223–$10,688
Kentucky (statewide)14$2,966$3,611$3,898$2,152–$5,710
Las Vegas NV2———$2,586–$3,010
Los Angeles CA17$4,706$6,070$6,860$4,267–$20,636
Louisiana (statewide)22$2,272$3,098$4,037$1,743–$6,528
Maine (statewide)15$9,559$10,965$11,098$5,880–$13,953
Massachusetts (statewide)2———$2,503–$3,771
Miami-Fort Lauderdale FL1———$4,356–$4,356
Michigan (statewide)16$2,424$2,572$2,714$1,767–$4,548
Minneapolis-St. Paul MN7$3,821$3,821$4,170$3,092–$5,022
Minnesota (statewide)11$5,804$7,209$7,930$3,821–$10,327
Mississippi (statewide)9$3,274$3,283$3,420$2,281–$3,721
Missouri (statewide)11$4,980$5,259$6,276$3,694–$6,295
Montana (statewide)3———$4,677–$6,899
Nashville TN8$3,262$3,529$3,870$1,869–$4,808
Nebraska (statewide)12$5,044$8,552$8,645$2,586–$18,020
Nevada (statewide)3———$2,460–$2,586
New Hampshire (statewide)6$8,032$8,476$10,095$7,121–$10,646
New Jersey (statewide)12$2,737$3,878$5,506$2,707–$11,208
New Mexico (statewide)4———$2,462–$8,453
New York (statewide)29$2,983$4,141$5,412$1,766–$7,932
New York City7$2,983$2,983$5,729$2,983–$9,226
North Carolina (statewide)2———$3,928–$6,303
North Dakota (statewide)5$4,126$5,176$5,339$4,036–$6,540
Ohio (statewide)33$2,959$4,858$6,353$1,343–$8,482
Oklahoma (statewide)11$1,591$4,846$5,482$1,306–$10,430
Oregon (statewide)6$5,974$6,279$7,934$5,339–$10,728
Pennsylvania (statewide)21$4,008$6,420$8,157$2,599–$10,936
Philadelphia PA10$4,604$5,024$6,919$3,968–$11,208
Phoenix AZ8$3,033$3,065$3,153$2,936–$3,418
Pittsburgh PA8$2,885$4,884$5,119$1,936–$5,872
Portland OR9$9,864$9,864$10,220$9,689–$10,220
Rhode Island (statewide)3———$4,628–$8,625
Richmond VA3———$6,342–$7,051
Rio Grande Valley TX3———$3,058–$5,613
Salt Lake City UT9$2,452$2,452$2,452$2,127–$2,452
San Antonio TX3———$3,410–$4,773
San Francisco Bay Area CA4———$5,788–$22,041
Seattle-Tacoma WA16$5,982$6,638$6,977$4,511–$8,364
South Carolina (statewide)19$8,422$10,121$13,952$1,520–$14,603
South Dakota (statewide)2———$3,622–$5,035
St. Louis MO1———$3,234–$3,234
Tampa FL6$6,291$6,291$6,291$3,572–$10,426
Tennessee (statewide)20$2,318$2,832$3,570$1,968–$5,032
Texas (statewide)67$2,816$4,463$5,023$1,858–$8,320
Utah (statewide)6$2,154$2,344$2,452$2,127–$2,452
Virginia (statewide)18$6,790$7,208$7,843$4,733–$10,558
Washington (statewide)10$6,115$6,552$7,193$4,888–$11,321
Washington DC9$5,310$5,689$5,689$4,169–$5,689
West Virginia (statewide)2———$2,590–$9,446
Wisconsin (statewide)32$5,587$7,250$7,250$2,175–$9,640

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$1,1570.5×12026-04-30
Waverly Health CenterIowa (statewide)$1,2040.5×12026-03-03
Russell Regional HospitalKansas (statewide)$1,2230.6×12026-06-01
Henry Ford Health -St John HospitalDetroit MI$1,2940.6×22026-01-01
Ascension St John Jane PhillipsOklahoma (statewide)$1,3060.6×12026-01-01
Ascension St John NowataOklahoma (statewide)$1,3060.6×12026-01-01
Ascension St John OwassoOklahoma (statewide)$1,3210.6×12026-01-01
Ascension Via Christi Hospital Manhattan, IncKansas (statewide)$1,3250.6×12026-01-01
Nationwide Children'S HospitalOhio (statewide)$1,3430.6×12026-04-01
St Vincent General Hospital DistrictColorado (statewide)$1,3780.6×12026-03-29
Baptist HospitalFlorida (statewide)$1,4770.6×102025-12-23
Jay HospitalFlorida (statewide)$1,4770.6×82025-12-23
Cherokee Medical CenterSouth Carolina (statewide)$14,4186.5×42026-04-01
Pelham Medical CenterSouth Carolina (statewide)$14,4186.4×42026-04-01
Union Medical CenterSouth Carolina (statewide)$14,4186.4×42026-04-01
Mcleod Medical Center - DillonSouth Carolina (statewide)$14,6036.6×12026-07-20
Providence Alaska Medical CenterAlaska (statewide)$15,1125.7×22026-04-01
Northeast Georgia Medical Center HabershamGeorgia (statewide)$15,3887.4×22026-04-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$16,2857.1×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$16,2856.8×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$16,2856.8×22026-04-01
Chi Health St FrancisNebraska (statewide)$18,0207.3×62026-02-28
Cedars-Sinai Medical CenterLos Angeles CA$20,6366.8×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0416.3×32026-04-01

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 eye muscle surgery (strabismus)?

Across 917 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 67311, hospital outpatient is $4,846, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,220 to $6,549. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for eye muscle surgery (strabismus)?

Medicare's national hospital outpatient rate for CPT 67311 is $2,429 and its surgery-center rate is $1,088, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for eye muscle surgery (strabismus)?

Lowest medians: Usa Health University Hospital ($1,157), Waverly Health Center ($1,204), Russell Regional Hospital ($1,223). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), Chi Health St Francis ($18,020). Coverage: every hospital whose price file we could read.