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

Removal of corneal surface layer without chemicals

CPT 65435the billing code this page is about

Removal of the outer cell layer of the cornea, performed without the use of a chelating agent.

Hospitals typically charge $830 cash for this outpatient procedure — the median across 763 hospitals that filed a usable cash price; the average of the middle 60% is $803. Most fall between $162 and $1,670 (20th–80th percentile).

Hospitals
763
States
49
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 763 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
$112$206$830$1,403$2,784

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($112 vs $2,784).

How the prices are spread

$70 – $102: 30 hospitals$70$102 – $149: 66 hospitals$149 – $218: 79 hospitals$149$218 – $319: 33 hospitals$319 – $466: 36 hospitals$319$466 – $682: 60 hospitals$682 – $996: 84 hospitals$682$996 – $1,455: 154 hospitals$1,455 – $2,127: 87 hospitals$1,455$2,127 – $3,108: 69 hospitals$2,127median $830price bands are equal on a log scale
Hospitals per price band (698 of 763 — the bands cover the 5th to 95th percentile)
FromToHospitals
$70$10230
$102$14966
$149$21879
$218$31933
$319$46636
$466$68260
$682$99684
$996$1,455154
$1,455$2,12787
$2,127$3,10869

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,018
Median cash price$830
Cash as a multiple of Medicare0.81×

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 $830.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $733 across 34 hospitalsWA$733Idaho: median $976 across 11 hospitalsID$976Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $409 across 28 hospitalsMN$409Illinois: median $278 across 31 hospitalsIL$278Wisconsin: median $521 across 33 hospitalsWI$521Michigan: median $532 across 28 hospitalsMI$532New York: median $1,146 across 34 hospitalsNY$1,146Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $260 across 25 hospitalsOR$260Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $516 across 20 hospitalsIA$516Indiana: median $152 across 13 hospitalsIN$152Ohio: median $1,133 across 32 hospitalsOH$1,133Pennsylvania: median $1,099 across 54 hospitalsPA$1,099New Jersey: median $1,290 across 27 hospitalsNJ$1,290Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,836 across 72 hospitalsCA$1,836Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $633 across 22 hospitalsWV$633Virginia: median $1,395 across 12 hospitalsVA$1,395Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $160 across 12 hospitalsKS$160Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $162 across 10 hospitalsTN$162North Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $113 across 21 hospitalsOK$113Louisiana: median $652 across 18 hospitalsLA$652Mississippi: median $202 across 16 hospitalsMS$202Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,176 across 21 hospitalsGA$1,176Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,091 across 40 hospitalsTX$1,091Florida: median $713 across 17 hospitalsFL$713
Cash price by state, most expensive first. National median $830. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA72$1,836+121%$937 – $3,108
Virginia VA12$1,395+68%$65 – $1,403
New Jersey NJ27$1,290+55%$1,072 – $5,339
Georgia GA21$1,176+42%$1,111 – $1,176
New York NY34$1,146+38%$195 – $1,917
Ohio OH32$1,133+37%$305 – $2,896
Pennsylvania PA54$1,099+33%$186 – $1,346
Texas TX40$1,091+31%$920 – $1,465
Idaho ID11$976+18%$750 – $2,626
Washington WA34$733−12%$261 – $2,010
Florida FL17$713−14%$713 – $972
Louisiana LA18$652−21%$350 – $832
West Virginia WV22$633−24%$70 – $1,650
Michigan MI28$532−36%$122 – $3,038
Wisconsin WI33$521−37%$218 – $521
Iowa IA20$516−38%$153 – $1,142
Minnesota MN28$409−51%$155 – $964
Illinois IL31$278−66%$148 – $914
Oregon OR25$260−69%$149 – $1,637
Mississippi MS16$202−76%$120 – $330
Tennessee TN10$162−80%$87 – $1,170
Kansas KS12$160−81%$120 – $534
Indiana IN13$152−82%$90 – $1,002
Oklahoma OK21$113−86%$113 – $659
Colorado CO9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Connecticut CT1not 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 $830.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care589$1,018$217 – $1,836
Children’s9fewer than 20 hospitals
Critical access165$228$117 – $1,091
Ownership
For-profit61$966$208 – $1,465
Government135$360$142 – $1,170
Non-profit567$918$174 – $1,836
System affiliation
Part of a system613$937$183 – $1,825
Independent150$360$136 – $1,170

Cash price vs list price

Median list price (chargemaster)$1,240
Median cash price$830
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

546 hospitals filed a usable inpatient cash price for this code. The median is $897 and the average of the middle 60% is $868; most fall between $171 and $1,748.

Cash price percentiles, inpatient, across 546 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
$110$218$897$1,485$2,626

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($110 vs $2,626).

Of the 584 hospitals that filed this code inpatient, 546 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

763 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 829 hospitals that filed this code at all gave us
Usable cash price — counted763
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded16
Hospitals that filed this code829

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 Rmvl Corneal Epithelium W/WO Chemocauterization.

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 corneal surface layer without chemicals (CPT 65435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-65435-removal-of-corneal-surface-layer-without-chemicals