Price Checker / CPT 23616
How much does Optx Prx Hmrl Fx Fix Rpr Rpl cost?
CPT 23616 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,700–$3,350
What this should cost
With insurance
~$7,050
Typical out-of-pocket
Overcharged if over
$4,200
Push back above this
The average hospital charge of $35,246 is $32,696 over the fair price (about 14x the fair rate).
What hospitals charge for Optx Prx Hmrl Fx Fix Rpr Rpl
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| PeaceHealth St. John Medical Center LONGVIEW, WA | $34,674 | — | 10795% |
| Sanford Bemidji Medical Center Bemidji, MN | — | — | 10639% |
| Lincoln Health Damariscotta, ME | — | — | 9707% |
| Sanford Worthington Medical Center Worthington, MN | — | — | 8096% |
| Waldo County General Hospital Belfast, ME | — | — | 7956% |
| Stephens Memorial Hospital Norway, ME | — | — | 7443% |
| Antioch Medical Center ANTIOCH, CA | $27,600 | — | 5690% |
| Fremont Medical Center FREMONT, CA | $27,600 | — | 5690% |
| Fresno Medical Center FRESNO, CA | $27,600 | — | 5690% |
| Oakland Medical Center Oakland, CA | $27,600 | — | 5690% |
| Redwood City Medical Center Redwood City, CA | $27,600 | — | 5690% |
| Richmond Medical Center Richmond, CA | $27,600 | — | 5690% |
| Roseville Medical Center ROSEVILLE, CA | $27,600 | — | 5690% |
| Sacramento Medical Center SACRAMENTO, CA | $27,600 | — | 5690% |
| San Francisco Medical Center SAN FRANCISCO, CA | $27,600 | — | 5690% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Optx Prx Hmrl Fx Fix Rpr Rpl
CPT code 23616 refers to optx prx hmrl fx fix rpr rpl (billing description: "Optx prx hmrl fx fix rpr rpl"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,122 in a facility (hospital or surgery center) and $1,122 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.