Permanent tear duct plug cost at US hospitals
Permanent tear duct plug · HCPCS A4263
$27.00
lowest cash price
$291.00
national median
$912.00
highest cash price
92
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $27.00–$912.00 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($27.00) → Sep 1, 2026 ($262.41)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $497.84 | $498.73 | $827.03 |
| California | 15 | $201.25 | $351.62 | $498.53 |
| Florida | 9 | $44.20 | $807.95 | $807.95 |
| Illinois | 9 | $144.80 | $144.80 | $196.40 |
| Iowa | 11 | not published by hospital | not published by hospital | not published by hospital |
| Kansas | 1 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $27.00 | $27.00 | $27.00 |
| Michigan | 11 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 2 | $384.00 | $384.00 | $384.00 |
| Missouri | 8 | not published by hospital | not published by hospital | not published by hospital |
| Montana | 1 | $308.20 | $308.20 | $308.20 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 9 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 1 | $511.01 | $511.01 | $511.01 |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 12 | $291.00 | $291.00 | $291.00 |
| North Dakota | 2 | $360.00 | $360.00 | $432.00 |
| Ohio | 25 | $217.51 | $217.51 | $217.51 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 8 | $252.71 | $252.71 | $252.71 |
| South Dakota | 1 | $912.00 | $912.00 | $912.00 |
| Texas | 13 | $511.01 | $511.01 | $511.01 |
| Virginia | 5 | $262.41 | $262.41 | $262.41 |
| Washington | 13 | $302.68 | $402.50 | $498.13 |
| Wisconsin | 1 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Health | Damariscotta, ME | $27.00 | $13.50 – $54.23 |
| cleveland clinic florida weston hospital | Weston, FL | $44.20 | $10.63 – $68.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $144.80 | $101.07 – $231.68 |
| Advocate Christ Medical Center | Oak Lawn, IL | $196.40 | $98.99 – $314.24 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $201.25 | not published |
| Providence Holy Cross Medical Center | Mission Hills, CA | $201.25 | not published |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $201.25 | not published |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $201.25 | not published |
| Providence Saint Joseph Medical Center | Burbank, CA | $201.25 | not published |
| Providence Saint John's Health Center | Santa Monica, CA | $201.25 | not published |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $217.51 | $96.57 – $261.00 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $217.51 | not published |
| University Hospitals Elyria Medical Center | Elyria, OH | $217.51 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $217.51 | not published |
| University Hospitals St. John Medical Center | Westlake OH, OH | $217.51 | not published |
| University Hospitals Samaritan Medical Center | Ashland, OH | $217.51 | not published |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $217.51 | not published |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $217.51 | not published |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $217.51 | not published |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $217.51 | not published |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $217.51 | not published |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $217.51 | $64.09 – $261.00 |
| Providence Medford Medical Center | Medford, OR | $252.71 | not published |
| Providence Newberg Medical Center | Newberg, OR | $252.71 | not published |
| Providence Seaside Hospital | Seaside, OR | $252.71 | not published |
| Providence Portland Medical Center | Portland, OR | $252.71 | not published |
| Providence St Vincent Medical Center | Portland, OR | $252.71 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $252.71 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $252.71 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $252.71 | not published |
| Inova Alexandria Hospital | Alexandria, VA | $262.41 | $173.19 – $409.36 |
| Inova Fairfax Hospital | Falls Church, VA | $262.41 | $173.19 – $409.36 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $262.41 | $173.19 – $409.36 |
| Inova Loudoun Hospital | Leesburg, VA | $262.41 | $173.19 – $409.36 |
| Inova Mount Vernon Hospital | Alexandria, VA | $262.41 | $173.19 – $409.36 |
| Atrium Health Anson | Wadesboro, NC | $291.00 | $9.50 – $86.45 |
| Atrium Health Mercy | Charlotte, NC | $291.00 | $9.50 – $83.72 |
| Atrium Health Pineville | Charlotte, NC | $291.00 | $9.10 – $83.72 |
| Atrium Health Stanly | Albermarle, NC | $291.00 | $9.50 – $87.36 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $291.00 | $9.60 – $80.08 |
| Atrium Health Cleveland | Shelby, NC | $291.00 | $9.50 – $86.45 |
| Atrium Health Cabarrus | Concord, NC | $291.00 | $9.50 – $86.45 |
| Atrium Health Lincoln | Lincolnton, NC | $291.00 | $9.50 – $86.45 |
| Atrium Health Union | Monroe, NC | $291.00 | $9.50 – $86.45 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $291.00 | $9.60 – $83.72 |
| Atrium Health University City | Charlotte, NC | $291.00 | $9.10 – $83.72 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $291.00 | $9.50 – $81.90 |
| Kadlec Regional Medical Center | Richland, WA | $302.68 | not published |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $308.20 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $308.57 | not published |