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Procedure price report · Other therapeutic procedures on eyelids, conjunctiva, cornea

Removal of a pterygium with tissue graft

CPT 65426the billing code this page is about

Surgical removal of a pterygium from the eye surface, with a graft of tissue placed over the bare area afterward.

Hospitals typically charge $2,840 cash for this outpatient procedure — the median across 459 hospitals that filed a usable cash price; the average of the middle 60% is $3,025. Most fall between $1,137 and $5,216 (20th–80th percentile).

Hospitals
459
States
46
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 459 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$742$1,399$2,840$4,595$7,053

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($742 vs $7,053).

How the prices are spread

$544 – $711: 21 hospitals$544$711 – $930: 27 hospitals$930 – $1,217: 27 hospitals$930$1,217 – $1,591: 33 hospitals$1,591 – $2,082: 28 hospitals$1,591$2,082 – $2,723: 40 hospitals$2,723 – $3,561: 70 hospitals$2,723$3,561 – $4,658: 89 hospitals$4,658 – $6,092: 30 hospitals$4,658$6,092 – $7,969: 50 hospitals$6,092median $2,840price bands are equal on a log scale
Hospitals per price band (415 of 459 — the bands cover the 5th to 95th percentile)
FromToHospitals
$544$71121
$711$93027
$930$1,21727
$1,217$1,59133
$1,591$2,08228
$2,082$2,72340
$2,723$3,56170
$3,561$4,65889
$4,658$6,09230
$6,092$7,96950

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,429
Median cash price$2,840
Cash as a multiple of Medicare1.17×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,840.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,723 across 14 hospitalsMN$2,723Illinois: median $1,137 across 15 hospitalsIL$1,137Wisconsin: median $4,035 across 29 hospitalsWI$4,035Michigan: median $1,399 across 24 hospitalsMI$1,399New York: median $3,479 across 39 hospitalsNY$3,479Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,638 across 15 hospitalsIA$1,638Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,632 across 20 hospitalsPA$1,632New Jersey: median $3,113 across 32 hospitalsNJ$3,113Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,149 across 44 hospitalsCA$6,149Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $5,458 across 11 hospitalsCO$5,458Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,233 across 16 hospitalsWV$1,233Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $776 across 13 hospitalsOK$776Louisiana: median $2,749 across 14 hospitalsLA$2,749Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,212 across 31 hospitalsTX$4,212Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,840. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA44$6,149+117%$4,243 – $7,969
Colorado CO11$5,458+92%$4,133 – $6,162
Texas TX31$4,212+48%$2,863 – $4,537
Wisconsin WI29$4,035+42%$3,785 – $4,305
New York NY39$3,479+23%$2,761 – $4,595
New Jersey NJ32$3,113+10%$2,585 – $5,339
Louisiana LA14$2,749−3%$1,613 – $6,270
Minnesota MN14$2,723−4%$2,073 – $2,723
Iowa IA15$1,638−42%$1,638 – $1,638
Pennsylvania PA20$1,632−43%$243 – $4,772
Michigan MI24$1,399−51%$1,399 – $3,269
West Virginia WV16$1,233−57%$451 – $3,434
Illinois IL15$1,137−60%$685 – $1,913
Oklahoma OK13$776−73%$776 – $4,756
Florida FL9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,840.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care378$2,968$1,254 – $5,620
Children’s5fewer than 20 hospitals
Critical access76$2,723$820 – $4,305
Ownership
For-profit48$3,388$1,111 – $6,355
Government72$2,761$1,111 – $5,510
Non-profit339$2,851$1,186 – $4,756
System affiliation
Part of a system379$2,973$1,207 – $5,362
Independent80$2,365$983 – $4,133

Cash price vs list price

Median list price (chargemaster)$4,458
Median cash price$2,840
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

252 hospitals filed a usable inpatient cash price for this code. The median is $2,769 and the average of the middle 60% is $2,848; most fall between $849 and $5,073.

Cash price percentiles, inpatient, across 252 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$685$1,026$2,769$4,305$7,969

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($685 vs $7,969).

Of the 267 hospitals that filed this code inpatient, 252 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

459 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 499 hospitals that filed this code at all gave us
Usable cash price — counted459
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded8
Hospitals that filed this code499

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other therapeutic procedures on eyelids, conjunctiva, cornea family.

Hospitals file this code under descriptions such as Excision/Transposition Pterygium W/Grafg.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Removal of a pterygium with tissue graft (CPT 65426) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-65426-removal-of-a-pterygium-with-tissue-graft