Chalazion (eyelid cyst) removal Cost by Hospital

Chalazion (eyelid cyst) removal is a surgical procedure. Prices are from 1236 US hospitals across 50 states, from their machine-readable files.

$395median cash price · 1236 hospitals, 50 statestypically $138–$1,118 depending on the hospital
≈ 3.0× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$808
Cash / self-pay
$395
Insurer-negotiated
$350
Medicare pays
$131
$138$1,118
Median cash $395  ·  Medicare $131  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $395 — about 3.0× the Medicare rate ($131). On the higher side. A fair cash price is usually within ~2× Medicare ($261).

💡 Asking for the cash price instead of the $808 list price could save about $413 (51%).

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
Westfield Memorial Hospital, Inc Westfield, NY $62 $83 — 120 min —
Canonsburg General Hospital Canonsburg, PA $62 $68 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $62 $83 ★ 3/5 261 min —
Unity Health-Jacksonville Jacksonville, AR $64 — — 130 min —
Unity Health-Newport Newport, AR $64 — — 103 min —
Grove City Medical Center Grove City, PA $65 $68 ★ 4/5 150 min —
O'connor Hospital Delhi, NY $67 $91 — 95 min —
Little Falls Hospital Little Falls, NY $67 $75 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $67 $85 ★ 4/5 111 min —
Allegheny Valley Hospital Natrona, PA $68 $68 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $68 $68 ★ 3/5 274 min —
Adventist Health Tulare Tulare, CA $68 $127 ★ 3/5 198 min —
Nacogdoches Memorial Hospital Nacogdoches, TX $72 $192 ★ 2/5 174 min —
Montgomery County Memorial Hospital Red Oak, IA $74 $67 — 113 min —
Ahn Wexford Hospital Wexford, PA $74 $68 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $77 $68 ★ 3/5 208 min —
Ochsner American Legion Hospital Jennings, LA $84 $185 ★ 2/5 104 min —
Hugh Chatham Memorial Hospital Elkin, NC $93 $119 ★ 3/5 168 min —
Braxton County Memorial Hospital, Inc Gassaway, WV $96 — — 102 min —
Potomac Valley Hospital Keyser, WV $96 — ★ 1/5 119 min —
Jefferson Medical Center Ranson, WV $96 — ★ 1/5 173 min —
Brookings Health System Brookings, SD $98 $176 ★ 4/5 97 min —
Henry Ford Health St John Hospital Detroit, MI $100 $284 ★ 1/5 170 min —
Ascension St John Jane Phillips Bartlesville, OK $100 $284 ★ 3/5 182 min —
Ascension St John Medical Center Tulsa, OK $100 $284 ★ 3/5 197 min —

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 October 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 Chalazion (eyelid cyst) removal

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: $395; Medicare pays $131.

InsurerHospitalsNegotiated median
Amerigroup 117
$65
$65 – $335
Geisinger 32
$66
$59 – $1,077
AmeriHealth 112
$68
$43 – $1,140
Univera 7
$75
$8 – $121
Medicaid 107
$112
$47 – $372
Priority Health 24
$146
$84 – $625
UCare 33
$272
$83 – $529
Sanford Health Plan 26
$279
$101 – $529
Highmark 56
$281
$97 – $795
Tricare / VA 138
$290
$103 – $478
Coventry 43
$300
$148 – $884
Devoted Health 103
$300
$216 – $344
Molina Healthcare 343
$303
$68 – $2,702
Medicare 232
$306
$84 – $408
HealthPartners 84
$308
$102 – $576
Medica 62
$314
$92 – $1,302
Humana 559
$352
$94 – $2,569
Independent Health 8
$354
$225 – $548
MVP Health Care 30
$354
$97 – $1,243
Kaiser Permanente 114
$380
$148 – $882
Harvard Pilgrim 19
$394
$223 – $1,135
UPMC Health Plan 47
$408
$114 – $2,705
Blue Cross Blue Shield 655
$436
$95 – $2,270
Security Health Plan 25
$440
$96 – $1,473
Centene / Ambetter 444
$443
$77 – $1,735
Workers' Comp / No-Fault 31
$448
$64 – $597
UnitedHealthcare 796
$488
$85 – $2,900
MultiPlan / PHCS network 219
$508
$114 – $1,329
EmblemHealth 53
$531
$225 – $12,590
Health Net 89
$545
$179 – $3,044
SelectHealth 29
$661
$186 – $5,307
Bright Health 43
$827
$607 – $2,644
Anthem 306
$842
$92 – $4,764
Aetna 700
$1,592
$108 – $4,083
Oscar Health 159
$2,455
$467 – $3,587
Cigna 569
$2,520
$300 – $8,253
Healthcare Highways 25
$5,841
$2,069 – $14,612
AvMed 32
$8,168
$532 – $12,084

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
Oklahoma$100
Kentucky$171
Nevada$180
Montana$185
Mississippi$208
North Carolina$219

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Chalazion (eyelid cyst) removal?

Yes — Medicare generally covers Chalazion (eyelid cyst) removal. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $131. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $26 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1236 US hospitals across 50 states, the typical (median) cash price is $395, versus a chargemaster (list) price around $808, a median insurer-negotiated rate of $350, a Medicare rate of about $131. Most cash prices fall between $138 and $1,118 — 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 Chalazion (eyelid cyst) removal cost without insurance?
The median cash (self-pay) price across 1236 US hospitals is $395. Most hospitals fall between $138 and $1,118. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Chalazion (eyelid cyst) removal?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $131). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Chalazion (eyelid cyst) removal?
Medicare pays about $131. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Chalazion (eyelid cyst) removal 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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