How much does Medicare pay for HCPCS V2785?

Medicare allowed an average of $4481.92 per service and paid $3571.92 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6299.12, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code V2785?

Processing, preserving and transporting corneal tissue. It was billed 7,169 times to 6,198 Medicare beneficiaries by 219 providers in 2024.

Does V2785 pay differently in an office than a hospital?

Yes. The allowed amount averaged $4935.78 in an office setting and $4472.81 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 V2785 most?

Ambulatory Surgical Center, with 7,028 services from 218 clinicians. Next are Ophthalmology.

HCPCS V2785

Processing, preserving and transporting corneal tissue

$4481.92Medicare-allowed amount per service, averaged across 7,169 services

Providers submitted

$6299.12

Asking price, not received

Medicare allowed

$4481.92

The fee schedule figure

Medicare paid

$3571.92

Balance is patient coinsurance

Providers submitted an average of $6299.12 for this code and Medicare allowed $4481.92 — 1.4× 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 $3571.92 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $4935.78
Hospital / facility: $4472.81

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 141 services were billed in an office setting and 7,028 in a facility.

Services: 7,169
Beneficiaries: 6,198
Providers billing it: 219
Total allowed: $32,130,884

What Medicare pays for HCPCS V2785

Across 7,169 services billed by 219 providers to 6,198 beneficiaries, Medicare allowed an average of $4481.92 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 V2785

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	7,028	6,090	$4472.81	218
Ophthalmology	141	108	$4935.78	1

V2785 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
Texas	637	$4369.01	$3502.46	18
Florida	610	$4407.35	$3519.41	23
Indiana	498	$3694.20	$2965.77	7
Arizona	347	$4449.90	$3544.50	8
Virginia	335	$4915.91	$3930.97	8
Tennessee	282	$4408.05	$3523.85	7
South Carolina	277	$4587.16	$3691.82	5
Georgia	256	$4404.09	$3520.90	7
California	256	$4278.74	$3409.08	10
Pennsylvania	256	$4774.72	$3820.59	7
New York	251	$4504.25	$3589.09	6
New Jersey	243	$4471.10	$3612.43	7
Alabama	185	$4879.79	$4001.37	3
South Dakota	182	$4806.05	$3829.21	3
Kansas	181	$4342.37	$3459.78	6
Washington	172	$4534.92	$3643.09	7
Maryland	172	$4626.84	$3686.43	8
Ohio	167	$4255.03	$3433.06	4
Minnesota	164	$4831.50	$3849.49	6
Illinois	151	$4656.04	$3709.69	7
Massachusetts	146	$4751.10	$3785.43	6
Wisconsin	132	$4555.23	$3629.37	6
Nebraska	131	$5050.64	$4024.08	4
Oklahoma	129	$4672.87	$3761.44	4
North Carolina	121	$4710.12	$3752.78	4
Louisiana	110	$4620.02	$3680.99	3
Iowa	90	$4402.40	$3549.90	4
Colorado	88	$4093.05	$3261.13	5
Nevada	71	$4649.05	$3704.12	3
Michigan	70	$4215.68	$3396.82	2
Kentucky	70	$4074.67	$3246.49	3
North Dakota	58	$5367.18	$4276.29	2
Mississippi	55	$4702.37	$3818.27	2
Oregon	55	$4203.75	$3349.33	2
Montana	48	$4450.00	$3545.53	3
Utah	32	$4596.26	$3662.06	1
Idaho	31	$4359.82	$3616.89	2
Missouri	29	$4539.97	$3617.21	1
New Mexico	24	$4523.12	$3603.79	1
Delaware	17	$3963.78	$3158.14	1
Hawaii	15	$4838.66	$3855.19	1
New Hampshire	13	$5019.16	$3999.00	1
Vermont	12	$5066.78	$4036.95	1

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.