Pterygium removal (eye) Cost by Hospital

Pterygium removal (eye) is a surgical procedure. Prices are from 975 US hospitals across 50 states, from their machine-readable files.

$2,606median cash price · 975 hospitals, 50 statestypically $676–$7,118 depending on the hospital
≈ 4.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$4,122
Cash / self-pay
$2,606
Insurer-negotiated
$2,463
Medicare pays
$540
$676$7,118
Median cash $2,606  ·  Medicare $540  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $2,606 — about 4.8× the Medicare rate ($540). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,081).

💡 Asking for the cash price instead of the $4,122 list price could save about $1,515 (37%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Arbuckle Memorial Hospital Sulphur, OK $399 $424 ★ 4/5 118 min 14.0%
Red Bud Regional Hospital Red Bud, IL $447 $767 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $447 $493 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $447 $517 ★ 5/5 128 min —
Deaconess Henderson Hospital Henderson, KY $447 $660 ★ 2/5 127 min 15.1%
Beloit Health System Beloit, WI $476 $908 ★ 3/5 122 min 15.5%
Truman Medical Center Hospital Hill Kansas City, MO $541 $1,040 ★ 3/5 191 min 15.7%
Vanderbilt Bedford Hospital Shelbyville, TN $551 $694 ★ 4/5 123 min 13.6%
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $551 $694 ★ 3/5 173 min 15.1%
Children's Mercy South Overland Park, KS $560 $682 — — —
The Children's Mercy Hospital Kansas City, MO $560 $682 — — —
Grand River Hospital District Rifle, CO $596 $2,114 — 107 min 14.4%
Citizens Memorial Hospital Bolivar, MO $604 $2,538 ★ 3/5 185 min 14.6%
University of Illinois Hospital and Clinics Chicago, IL $647 $511 ★ 4/5 319 min 15.9%
Ochsner Laird Hospital Union, MS $650 $383 — 101 min 15.4%
Ochsner Scott Regional Morton, MS $672 $383 — 79 min 14.9%
Ochsner Watkins Hospital Quitman, MS $714 $383 — 85 min 15.1%
Hurley Medical Center Flint, MI $728 $273 ★ 2/5 169 min 15.6%
Contra Costa Regional Medical Center Martinez, CA $729 — ★ 4/5 175 min 14.2%
Ochsner Stennis Memorial Hospital De Kalb, MS $736 $383 — 91 min 14.9%
Memorial Hermann Surgical Hospital Kingwood Kingwood, TX $781 $3,112 — — 14.8%
Southwestern Vermont Medical Center Bennington, VT $783 — ★ 3/5 196 min 15.8%
Washington Regional Medical Center Fayetteville, AR $798 — ★ 4/5 216 min 13.3%
Desoto Regional Health System Mansfield, LA $809 $1,155 ★ 2/5 107 min 14.3%
Tops Surgical Specialty Hospital Houston, TX $809 $1,424 — — 14.4%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Pterygium removal (eye)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $2,606; Medicare pays $540.

InsurerHospitalsNegotiated median
Univera 7
$247
$39 – $405
Geisinger 21
$282
$255 – $2,748
AmeriHealth 86
$496
$185 – $8,727
Priority Health 12
$662
$242 – $2,381
Medicaid 64
$714
$299 – $2,150
Amerigroup 100
$733
$698 – $2,369
Sanford Health Plan 22
$1,172
$359 – $4,131
Bright Health 35
$1,187
$870 – $3,105
Centene / Ambetter 364
$1,622
$527 – $5,360
Harvard Pilgrim 11
$1,708
$599 – $4,403
Medica 42
$1,741
$386 – $3,675
HealthPartners 58
$1,855
$382 – $4,200
Highmark 34
$1,913
$478 – $5,132
Tricare / VA 87
$2,142
$372 – $3,894
Coventry 25
$2,212
$510 – $4,681
Molina Healthcare 273
$2,224
$377 – $3,242
Medicare 135
$2,312
$370 – $3,276
Security Health Plan 17
$2,322
$359 – $9,443
UCare 29
$2,335
$314 – $4,129
Devoted Health 78
$2,341
$1,338 – $2,550
Independent Health 8
$2,363
$1,965 – $2,761
Humana 434
$2,471
$435 – $4,690
Aetna 545
$2,532
$698 – $5,753
UPMC Health Plan 16
$2,734
$410 – $9,746
MVP Health Care 24
$2,761
$288 – $7,321
Kaiser Permanente 100
$2,819
$436 – $8,200
Health Net 67
$2,964
$389 – $7,617
Anthem 229
$3,072
$443 – $7,883
MultiPlan / PHCS network 131
$3,120
$677 – $5,402
Blue Cross Blue Shield 526
$3,329
$673 – $6,854
Cigna 457
$3,433
$1,581 – $10,835
Workers' Comp / No-Fault 19
$3,596
$339 – $3,596
Healthcare Highways 32
$3,650
$3,041 – $5,524
UnitedHealthcare 623
$3,952
$613 – $9,041
SelectHealth 27
$4,128
$1,213 – $5,307
Oscar Health 113
$5,571
$3,122 – $8,023
AvMed 26
$8,253
$4,281 – $12,418
EmblemHealth 25
$12,590
$1,965 – $18,756

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$360
Kentucky$447
Indiana$447
Missouri$604
Mississippi$714
Michigan$728

Prices by city

Chicago, ILAustin, TXHouston, TXNew York, NYCharlotte, NCDallas, TXFort Worth, TXLos Angeles, CASan Antonio, TXArlington, TXBronx, NYNashville, TNSacramento, CAAurora, COBrooklyn, NYColorado Springs, COKansas City, MOKnoxville, TNMilwaukee, WIPhiladelphia, PAPlano, TXSan Francisco, CATacoma, WABangor, ME

Prices by state

TexasCaliforniaFloridaOhioIllinoisNew YorkColoradoWisconsinMinnesotaTennesseeLouisianaNorth CarolinaNew JerseyIndianaPennsylvaniaMichiganWashingtonMaineSouth CarolinaOklahomaIowaGeorgiaVirginiaKansasMissouriKentuckyNebraskaIdahoUtahArizonaAlabamaArkansasNew HampshireMassachusettsMississippiWest VirginiaNevadaMontanaPuerto RicoSouth DakotaNorth DakotaWyomingNew Mexico

About these prices

Based on prices published by 975 US hospitals across 50 states, the typical (median) cash price is $2,606, versus a chargemaster (list) price around $4,122, a median insurer-negotiated rate of $2,463, a Medicare rate of about $540. Most cash prices fall between $676 and $7,118 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Pterygium removal (eye) cost without insurance?
The median cash (self-pay) price across 975 US hospitals is $2,606. Most hospitals fall between $676 and $7,118. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Pterygium removal (eye)?
Medicare pays about $540. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Pterygium removal (eye) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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