Droopy eyelid repair (ptosis) Cost by Hospital

Droopy eyelid repair (ptosis) is a surgical procedure. Prices are from 1165 US hospitals across 51 states, from their machine-readable files.

$3,102median cash price · 1165 hospitals, 51 statestypically $1,038–$7,197 depending on the hospital
≈ 4.2× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$5,364
Cash / self-pay
$3,102
Insurer-negotiated
$2,649
Medicare pays
$745
$1,038$7,197
Median cash $3,102  ·  Medicare $745  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,102 — about 4.2× the Medicare rate ($745). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,490).

💡 Asking for the cash price instead of the $5,364 list price could save about $2,262 (42%).

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
O'connor Hospital Delhi, NY $480 $647 — 88 min 14.7%
Little Falls Hospital Little Falls, NY $480 $535 ★ 2/5 110 min 15.7%
Cobleskill Regional Hospital Cobleskill, NY $480 $609 ★ 4/5 109 min 14.6%
St Joseph's Hospital-Savannah Savannah, GA $502 $3,146 ★ 2/5 206 min 14.7%
Braxton County Memorial Hospital, Inc Gassaway, WV $559 — — 102 min 15.0%
Potomac Valley Hospital Keyser, WV $559 — ★ 1/5 118 min 15.5%
Jefferson Medical Center Ranson, WV $559 — ★ 1/5 161 min 14.5%
Mon Health Medical Center Morgantown, WV $602 $520 ★ 4/5 195 min 15.5%
Mon Health Marion Whitehall, WV $602 $520 — 90 min 15.1%
Jackson General Hospital Ripley, WV $610 — ★ 3/5 133 min 14.8%
Summersville Regional Medical Center Summersville, WV $610 — ★ 2/5 140 min 15.1%
Harrison Community Hospital Cadiz, OH $611 — — 84 min 15.2%
Barnesville Hospital Association, Inc Barnesville, OH $611 $4,513 — 113 min 15.0%
Hospital Pavia Caguas Caguas, PR $720 $713 — — 17.1%
Astria Toppenish Hospital Toppenish, WA $835 $1,536 — 148 min 14.8%
Grant Memorial Hospital Petersburg, WV $894 — ★ 3/5 105 min 15.4%
Regional West Medical Center Scottsbluff, NE $911 $1,141 ★ 2/5 201 min 14.9%
Cheshire Medical Center Keene, NH $928 $1,596 ★ 4/5 224 min 14.9%
Lake Region Healthcare Corporation Fergus Falls, MN $1,005 $668 ★ 4/5 147 min 13.8%
Red Bud Regional Hospital Red Bud, IL $1,028 $1,763 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $1,028 $754 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $1,028 $862 ★ 5/5 128 min —
Deaconess Henderson Hospital Henderson, KY $1,028 $1,069 ★ 2/5 127 min 15.1%
Children's Mercy South Overland Park, KS $1,038 $1,034 — — —
The Children's Mercy Hospital Kansas City, MO $1,038 $1,034 — — —

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 Droopy eyelid repair (ptosis)

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: $3,102; Medicare pays $745.

InsurerHospitalsNegotiated median
Univera 7
$386
$60 – $633
Geisinger 30
$622
$622 – $4,339
AmeriHealth 95
$683
$450 – $9,057
Amerigroup 103
$733
$698 – $2,386
Priority Health 26
$1,239
$484 – $3,959
Medicaid 102
$1,731
$467 – $2,850
Bright Health 35
$2,007
$1,471 – $4,850
Medica 48
$2,026
$598 – $3,694
Harvard Pilgrim 17
$2,121
$869 – $6,548
Coventry 28
$2,212
$664 – $4,939
Sanford Health Plan 24
$2,214
$556 – $4,131
Tricare / VA 115
$2,226
$597 – $4,644
Centene / Ambetter 398
$2,250
$698 – $5,360
Highmark 60
$2,259
$788 – $5,686
Molina Healthcare 308
$2,278
$644 – $3,242
HealthPartners 73
$2,303
$589 – $4,551
UCare 32
$2,340
$499 – $4,129
Devoted Health 82
$2,341
$2,160 – $2,651
Security Health Plan 23
$2,375
$556 – $7,625
Medicare 194
$2,404
$579 – $3,146
UPMC Health Plan 34
$2,596
$580 – $6,615
Independent Health 10
$2,761
$2,162 – $3,388
Kaiser Permanente 115
$2,835
$1,070 – $6,884
Humana 494
$2,893
$634 – $4,690
MVP Health Care 31
$2,968
$723 – $7,585
Blue Cross Blue Shield 619
$3,208
$784 – $8,071
Health Net 82
$3,262
$848 – $9,239
Anthem 266
$3,266
$698 – $7,907
MultiPlan / PHCS network 165
$3,571
$719 – $8,261
Workers' Comp / No-Fault 28
$3,596
$1,043 – $4,202
UnitedHealthcare 734
$3,599
$698 – $8,869
Healthcare Highways 32
$3,650
$3,041 – $5,524
Aetna 636
$3,833
$869 – $9,890
SelectHealth 28
$4,070
$1,706 – $5,307
EmblemHealth 33
$5,685
$2,181 – $18,756
Oscar Health 119
$5,876
$3,213 – $7,928
Cigna 517
$6,004
$2,104 – $14,306
AvMed 26
$8,253
$4,281 – $12,418

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
Georgia$828
New Hampshire$1,147
Mississippi$1,221
Indiana$1,286
Montana$1,425
West Virginia$1,495

Prices by city

Chicago, ILAustin, TXNew York, NYPhiladelphia, PAPittsburgh, PADallas, TXHouston, TXSacramento, CABronx, NYCharlotte, NCFort Worth, TXLos Angeles, CASan Antonio, TXArlington, TXKansas City, MOLittle Rock, ARNashville, TNSan Francisco, CAAurora, COBrooklyn, NYColorado Springs, COKnoxville, TNMilwaukee, WIOverland Park, KS

Prices by state

TexasCaliforniaFloridaWisconsinPennsylvaniaNew YorkOhioMinnesotaIllinoisColoradoNorth CarolinaMichiganTennesseeLouisianaNew JerseyIndianaWashingtonWest VirginiaArkansasGeorgiaMaineMissouriSouth CarolinaKansasOklahomaMississippiIowaIdahoVirginiaKentuckyNebraskaUtahArizonaAlabamaMassachusettsNew HampshireNorth DakotaMontanaSouth DakotaNevadaNew MexicoWyoming

About these prices

Based on prices published by 1165 US hospitals across 51 states, the typical (median) cash price is $3,102, versus a chargemaster (list) price around $5,364, a median insurer-negotiated rate of $2,649, a Medicare rate of about $745. Most cash prices fall between $1,038 and $7,197 — 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 Droopy eyelid repair (ptosis) cost without insurance?
The median cash (self-pay) price across 1165 US hospitals is $3,102. Most hospitals fall between $1,038 and $7,197. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Droopy eyelid repair (ptosis)?
Medicare pays about $745. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Droopy eyelid repair (ptosis) 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.

Related Surgery & Procedures

Abscess incision and drainageAbscess drainage (simple)Abscess drainage (complex or multiple)Foreign body removal (skin)Simple wound stitchesBurn treatmentSimple laceration repair (small, up to 2.5 cm)Burn dressing and debridement (small)

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