Price Checker / CPT 65770

CPT 65770Keratoprosthesis

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$1,182

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$1,182

What Medicare pays in a physician's office

Avg Hospital Charge

$38,694

Based on 13 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 65770

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Lincoln Health

Damariscotta, ME

7128%
Waldo County General Hospital

Belfast, ME

5838%
Stephens Memorial Hospital

Norway, ME

5460%
Benson Hospital

Benson, AZ

4167%
MaineHealth - Memorial Hospital

North Conway, NH

3993%
St. Joseph's Westgate Medical Center

Glendale, AZ

3686%
Wellfound Behavioral Health Hospital

Tacoma, WA

3357%
Wills Eye Hospital

Philadelphia, PA

$27,6001476%
PAM Health Rehabilitation Hospital of Henderson

Henderson, NV

1187%
PAM Rehabilitation Hospital of Centennial Hills

Las Vegas, NV

1187%
PAM Health Rehabilitation Hospital Northeast San Antonio

San Antonio, TX

1002%
Warm Springs Rehabilitation Hospital of San Antonio

San Antonio, TX

1002%
Warm Springs Rehabilitation Hospital of Westover Hills

San Antonio, TX

1002%

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About CPT 65770

CPT code 65770 refers to “Keratoprosthesis”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,182 in a facility (hospital or ambulatory surgery center) and $1,182in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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