Price Checker / CPT 66130
How much does Remove Eye Lesion cost?
CPT 66130 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 9.7x the fair price — among the most extreme markups. Dispute this.
Fair price
$3,050–$3,600
What this should cost
With insurance
~$3,100
Typical out-of-pocket
Overcharged if over
$4,500
Push back above this
The average hospital charge of $32,515 is $29,165 over the fair price (about 9.7x the fair rate).
What hospitals charge for Remove Eye Lesion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Valley Children's Hospital Madera, CA | — | — | 4503% |
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 Remove Eye Lesion
CPT code 66130 refers to remove eye lesion (billing description: "Remove eye lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $477 in a facility (hospital or surgery center) and $706 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.