How much does Medicare pay for CPT 65756?

Medicare allowed an average of $1421.30 per service and paid $1128.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5248.76, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 65756?

Transplantation of outer layer of corneal tissue. It was billed 15,197 times to 13,030 Medicare beneficiaries by 588 providers in 2024.

Does 65756 pay differently in an office than a hospital?

Yes. The allowed amount averaged $829.99 in an office setting and $1454.81 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 65756 most?

Ophthalmology, with 8,765 services from 379 clinicians. Next are Ambulatory Surgical Center, Physician Assistant.

CPT 65756

Transplantation of outer layer of corneal tissue

$1421.30Medicare-allowed amount per service, averaged across 15,197 services

Providers submitted

$5248.76

Asking price, not received

Medicare allowed

$1421.30

The fee schedule figure

Medicare paid

$1128.52

Balance is patient coinsurance

Providers submitted an average of $5248.76 for this code and Medicare allowed $1421.30 — 3.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1128.52 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $829.99
Hospital / facility: $1454.81

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 815 services were billed in an office setting and 14,382 in a facility.

Services: 15,197
Beneficiaries: 13,030
Providers billing it: 588
Total allowed: $21,599,496

What Medicare pays for CPT 65756

Across 15,197 services billed by 588 providers to 13,030 beneficiaries, Medicare allowed an average of $1421.30 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 65756

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	8,765	7,524	$1059.97	379
Ambulatory Surgical Center	6,305	5,399	$1949.24	207
Physician Assistant	127	107	$148.34	2

65756 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	1,145	$1466.24	$1207.56	45
Texas	1,034	$1480.02	$1202.46	44
Indiana	849	$1457.79	$1215.53	15
California	768	$1522.79	$1021.45	36
Pennsylvania	673	$1376.53	$1095.19	27
Virginia	665	$1450.46	$1200.54	24
New York	600	$1462.35	$1080.17	23
Arizona	566	$1568.81	$1262.47	21
South Carolina	520	$1485.03	$1254.46	13
Tennessee	489	$1476.46	$1276.55	19
Georgia	464	$1512.14	$1212.83	15
Ohio	447	$1371.64	$1130.79	20
Illinois	444	$1317.47	$1042.88	22
Maryland	414	$1445.52	$1139.94	20
Alabama	414	$854.23	$758.21	8
North Carolina	397	$1387.83	$1152.95	19
South Dakota	379	$1403.64	$1204.45	8
Michigan	376	$1127.50	$918.77	17
Iowa	370	$1352.20	$1148.82	13
Wisconsin	354	$1245.44	$1016.40	15
Kansas	337	$1390.67	$1168.85	11
New Jersey	335	$1806.83	$1333.79	12
Washington	318	$1325.85	$995.45	11
Oklahoma	310	$1390.52	$1201.87	10
Minnesota	281	$1533.29	$1194.65	9
Massachusetts	265	$1517.84	$1132.93	13
Louisiana	261	$1375.90	$1180.28	10
Nebraska	236	$1539.52	$1275.39	8
Oregon	202	$1253.61	$931.34	12
Kentucky	196	$1322.16	$1095.39	9
Missouri	178	$1322.89	$1083.80	9
Colorado	135	$1564.81	$1232.17	9
Nevada	130	$1558.68	$1295.50	6
Mississippi	118	$1396.84	$1225.47	5
North Dakota	111	$1502.20	$1259.41	4
Montana	66	$1561.79	$1295.72	5
Utah	56	$1496.79	$1233.12	3
New Mexico	39	$1539.36	$1319.60	2
West Virginia	35	$1078.42	$899.28	1
Arkansas	34	$1028.26	$888.87	2
Connecticut	32	$720.32	$544.12	2
Delaware	32	$893.37	$686.16	2
New Hampshire	30	$1486.77	$1225.75	2
Hawaii	25	$1790.71	$1262.89	2
Idaho	25	$1476.31	$1208.77	2
Maine	17	$1100.74	$911.92	1
Alaska	13	$1335.75	$840.90	1
Vermont	12	$1972.14	$1603.12	1

Related codes

65778Placement of amniotic membrane on eye surface for wound healing$1085.85

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.