Price Checker / CPT 67901

How much does Repair Eyelid Defect cost?

CPT 67901 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $2,100–$2,500.

Fair price

$2,100–$2,500

What this should cost

With insurance

~$2,900

Typical out-of-pocket

Overcharged if over

$3,150

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About Repair Eyelid Defect

CPT code 67901 refers to repair eyelid defect (billing description: "Repair eyelid defect"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $502 in a facility (hospital or surgery center) and $794 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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