Procedure price report · Diagnostic procedures on eye

Biopsy of the tear sac

CPT code CPT 68525the billing code this page is about

Removal of a small tissue sample from the tear sac for laboratory examination.

Hospitals typically charge $2,422 cash for this outpatient procedure — the median across 237 hospitals that filed a usable cash price; the average of the middle 60% is $2,213. Most fall between $543 and $4,627 (20th–80th percentile).

Hospitals
237
States
36
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 237 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
$339$658$2,422$3,749$6,860

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($339 vs $6,860).

How the prices are spread

$199 – $283: 9 hospitals$199$283 – $404: 9 hospitals$404 – $575: 23 hospitals$404$575 – $820: 28 hospitals$820 – $1,169: 10 hospitals$820$1,169 – $1,666: 13 hospitals$1,666 – $2,374: 15 hospitals$1,666$2,374 – $3,383: 47 hospitals$3,383 – $4,821: 29 hospitals$3,383$4,821 – $6,871: 41 hospitals$4,821median $2,422price bands are equal on a log scale
Hospitals per price band (224 of 237 — the bands cover the 5th to 95th percentile)
FromToHospitals
$199$2839
$283$4049
$404$57523
$575$82028
$820$1,16910
$1,169$1,66613
$1,666$2,37415
$2,374$3,38347
$3,383$4,82129
$4,821$6,87141

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,429
Median cash price$2,422
Cash as a multiple of Medicare1.00×

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 $2,422.

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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $596 across 12 hospitalsIL$596Wisconsin: 2 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $2,761 across 18 hospitalsNY$2,761Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $658 across 13 hospitalsIA$658Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,638 across 21 hospitalsPA$1,638New Jersey: median $4,376 across 28 hospitalsNJ$4,376Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,871 across 41 hospitalsCA$6,871Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $421 across 12 hospitalsOK$421Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $2,105 across 18 hospitalsTX$2,105Florida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,422. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA41$6,871+184%$3,749 – $6,871
New Jersey NJ28$4,376+81%$2,585 – $5,339
New York NY18$2,761+14%$2,429 – $2,822
Texas TX18$2,105−13%$2,105 – $2,422
Pennsylvania PA21$1,638−32%$164 – $3,623
Iowa IA13$658−73%$658 – $658
Illinois IL12$596−75%$199 – $1,824
Oklahoma OK12$421−83%$421 – $421
Idaho ID8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wisconsin WI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oregon OR1not 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 $2,422.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care217$2,509$596 – $4,627
Children’s3fewer than 20 hospitals
Critical access17fewer than 20 hospitals
Ownership
For-profit24$2,105$300 – $4,111
Government28$1,360$453 – $2,761
Non-profit185$2,550$596 – $5,032
System affiliation
Part of a system200$2,582$596 – $5,024
Independent37$946$454 – $2,510

Cash price vs list price

Median list price (chargemaster)$1,700
Median cash price$2,422
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

153 hospitals filed a usable inpatient cash price for this code. The median is $1,525 and the average of the middle 60% is $1,705; most fall between $421 and $3,801.

Cash price percentiles, inpatient, across 153 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
$279$421$1,525$3,749$6,871

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($279 vs $6,871).

Of the 165 hospitals that filed this code inpatient, 153 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

237 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 269 hospitals that filed this code at all gave us
Usable cash price — counted237
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code269

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 5, 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.

Hospitals file this code under descriptions such as PR Biopsy of Tear Sac.

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 tear sac (CPT 68525) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-68525-biopsy-of-the-tear-sac