Price Checker / CPT 68020
How much does Incise/drain Eyelid Lining cost?
CPT 68020 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 55x the fair price — among the most extreme markups. Dispute this.
Fair price
$180–$360
What this should cost
With insurance
~$2,450
Typical out-of-pocket
Overcharged if over
$450
Push back above this
The average hospital charge of $14,894 is $14,624 over the fair price (about 55x the fair rate).
What hospitals charge for Incise/drain Eyelid Lining
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| HCA HOUSTON HEALTHCARE KINGWOOD Kingwood, TX | — | — | 15808% |
| HCA Houston Healthcare North Cypress Cypress, TX | — | — | 15808% |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Webster, TX | — | — | 13736% |
| University Hospitals Samaritan Medical Center ASHLAND, OH | $4,220 | $3,165 | 3380% |
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 Incise/drain Eyelid Lining
CPT code 68020 refers to incise/drain eyelid lining (billing description: "Incise/drain eyelid lining"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $95 in a facility (hospital or surgery center) and $121 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.