Price Checker / CPT 67430
How much does Explore/treat Eye Socket cost?
CPT 67430 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$3,400–$3,950
What this should cost
With insurance
~$3,350
Typical out-of-pocket
Overcharged if over
$4,950
Push back above this
What hospitals charge for Explore/treat Eye Socket
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Queens Hospital Center Jamaica, NY | — | — | -100% |
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 Explore/treat Eye Socket
CPT code 67430 refers to explore/treat eye socket (billing description: "Explore/treat eye socket"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,213 in a facility (hospital or surgery center) and $1,213 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.