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Procedure price report · Diagnostic procedures on eye

Biopsy of the membrane covering the eye

CPT 68100the billing code this page is about

A small sample of the clear membrane over the white of the eye or inside the lids is removed so it can be examined in the laboratory.

Hospitals typically charge $1,283 cash for this outpatient procedure — the median across 465 hospitals that filed a usable cash price; the average of the middle 60% is $1,553. Most fall between $338 and $3,269 (20th–80th percentile).

Hospitals
465
States
47
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 465 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
$181$438$1,283$2,761$5,855

The most expensive tenth of hospitals charges at least 32× what the cheapest tenth charges ($181 vs $5,855).

How the prices are spread

$155 – $226: 43 hospitals$155$226 – $328: 25 hospitals$328 – $476: 46 hospitals$328$476 – $692: 28 hospitals$692 – $1,005: 31 hospitals$692$1,005 – $1,459: 41 hospitals$1,459 – $2,120: 33 hospitals$1,459$2,120 – $3,079: 95 hospitals$3,079 – $4,472: 38 hospitals$3,079$4,472 – $6,496: 45 hospitals$4,472median $1,283price bands are equal on a log scale
Hospitals per price band (425 of 465 — the bands cover the 5th to 95th percentile)
FromToHospitals
$155$22643
$226$32825
$328$47646
$476$69228
$692$1,00531
$1,005$1,45941
$1,459$2,12033
$2,120$3,07995
$3,079$4,47238
$4,472$6,49645

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,429
Median cash price$1,283
Cash as a multiple of Medicare0.53×

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 $1,283.

Alaska: 3 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $823 across 20 hospitalsMN$823Illinois: median $391 across 18 hospitalsIL$391Wisconsin: median $1,165 across 40 hospitalsWI$1,165Michigan: median $3,269 across 18 hospitalsMI$3,269New York: median $2,761 across 33 hospitalsNY$2,761Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $438 across 15 hospitalsIA$438Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $423 across 10 hospitalsOH$423Pennsylvania: median $827 across 24 hospitalsPA$827New Jersey: median $3,627 across 24 hospitalsNJ$3,627Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,836 across 49 hospitalsCA$2,836Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,615 across 19 hospitalsWV$1,615Virginia: median $1,074 across 11 hospitalsVA$1,074Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $155 across 13 hospitalsOK$155Louisiana: median $940 across 14 hospitalsLA$940Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $512 across 16 hospitalsGA$512Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,902 across 27 hospitalsTX$1,902Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,283. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ24$3,627+183%$2,582 – $5,419
Michigan MI18$3,269+155%$1,165 – $7,647
California CA49$2,836+121%$2,591 – $6,496
New York NY33$2,761+115%$566 – $4,320
Texas TX27$1,902+48%$609 – $2,212
West Virginia WV19$1,615+26%$90 – $2,733
Wisconsin WI40$1,165−9%$463 – $1,752
Virginia VA11$1,074−16%$175 – $1,074
Louisiana LA14$940−27%$603 – $2,149
Pennsylvania PA24$827−36%$64 – $3,944
Minnesota MN20$823−36%$701 – $2,185
Georgia GA16$512−60%$512 – $2,148
Iowa IA15$438−66%$438 – $438
Ohio OH10$423−67%$297 – $2,510
Illinois IL18$391−69%$181 – $2,489
Oklahoma OK13$155−88%$155 – $3,867
Oregon OR8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not 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 $1,283.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care392$1,689$370 – $3,516
Children’s7fewer than 20 hospitals
Critical access66$823$221 – $2,151
Ownership
For-profit35$940$183 – $3,095
Government62$1,626$341 – $2,761
Non-profit368$1,238$340 – $3,623
System affiliation
Part of a system397$1,403$391 – $3,390
Independent68$1,106$270 – $3,076

Cash price vs list price

Median list price (chargemaster)$1,793
Median cash price$1,283
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

303 hospitals filed a usable inpatient cash price for this code. The median is $1,165 and the average of the middle 60% is $1,402; most fall between $295 and $3,546.

Cash price percentiles, inpatient, across 303 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
$175$341$1,165$2,678$6,496

The most expensive tenth of hospitals charges at least 37× what the cheapest tenth charges ($175 vs $6,496).

Of the 319 hospitals that filed this code inpatient, 303 gave a usable cash price; 9 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

465 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 505 hospitals that filed this code at all gave us
Usable cash price — counted465
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
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 — excluded9
Hospitals that filed this code505

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 Diagnostic procedures on eye family.

Hospitals file this code under descriptions such as Biopsy Conjunctiva.

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, “Biopsy of the membrane covering the eye (CPT 68100) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-68100-biopsy-of-the-membrane-covering-the-eye