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 |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle, WA | $308.57 | not published |
| Swedish Issaquah | Issaquah, WA | $308.57 | not published |
| Swedish Edmonds Hospital | Edmonds, WA | $308.57 | not published |
| Healdsburg Hospital | Healdsburg, CA | $322.58 | not published |
| Providence St Mary Medical Center | Walla Walla, WA | $350.18 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $351.62 | not published |
| Sanford Medical Center Bismarck | Bismarck, ND | $360.00 | $74.12 – $210.38 |
| Sanford Bemidji Medical Center | Bemidji, MN | $384.00 | $1.02 – $222.75 |
| Queen of The Valley Medical Center | Napa, CA | $385.92 | not published |
| St Jude Medical Center | Fullerton, CA | $400.20 | not published |
| Providence St Joseph Hospital | Chewelah, WA | $402.50 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $402.50 | not published |
| Providence Holy Family Hospital | Spokane, WA | $425.04 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $425.04 | not published |
| Sanford Fargo Medical Center | Fargo, ND | $432.00 | $1.00 – $267.30 |
| Providence St Joseph Hospital Orange | Orange, CA | $437.18 | not published |
| Providence Centralia Hospital | Centralia, WA | $450.29 | not published |
| Providence St Peter Hospital | Olympia, WA | $450.29 | not published |
| Providence St Joseph Hospital Eureka | Eureka, CA | $472.13 | not published |
| Redwood Memorial Hospital | Fortuna, CA | $472.13 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $497.84 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $498.13 | not published |
| Petaluma Valley Hospital | Petaluma, CA | $498.53 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $498.53 | not published |
| Providence Valdez Medical Center | Valdez, AK | $498.73 | not published |
| Covenant Medical Center | Lubbock, TX | $511.01 | $133.73 – $133.73 |
| Covenant Children's Hospital | Lubbock, TX | $511.01 | not published |
| Covenant Hospital Plainview | Plainview, TX | $511.01 | not published |
| Covenant Hospital Levelland | Levelland, TX | $511.01 | not published |
| Covenant Health Hobbs Hospital | Hobbs, NM | $511.01 | not published |
| Covenant Specialty Hospital | Lubbock, TX | $511.01 | not published |
| Baptist Hospital | MIAMI, FL | $807.95 | $173.17 – $1,118.70 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $807.95 | $350.53 – $1,118.70 |
| Doctors Hospital | CORAL GABLES, FL | $807.95 | $217.53 – $1,118.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $807.95 | $216.28 – $1,118.70 |
| Fishermens Community Hospital | MARATHON, FL | $807.95 | $207.58 – $1,118.70 |
| Homestead Hospital | HOMESTEAD, FL | $807.95 | $167.89 – $1,118.70 |
| Mariners Hospital | TAVERNIER, FL | $807.95 | $215.04 – $1,118.70 |
| West Kendall Baptist Hospital | MIAMI, FL | $807.95 | $212.55 – $1,118.70 |
| Providence Alaska Medical Center | Anchorage, AK | $827.03 | $118.09 – $118.09 |
| St Elias Specialty Hospital | Anchorage, AK | $827.03 | $133.73 – $133.73 |
| Sanford USD Medical Center | Sioux Falls, SD | $912.00 | $1.00 – $470.70 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $263.08 – $263.08 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $38.34 – $38.34 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $35.33 – $47.01 |
| south pointe hospital | Warrensville Heights, OH | not published | $10.13 – $11.73 |
| mercy hospital | Canton, OH | not published | $9.09 – $10.00 |
| medina hospital | Medina, OH | not published | $8.90 – $10.31 |
| marymount hospital | Garfield Heights, OH | not published | $8.59 – $9.94 |
| lodi hospital | Lodi, OH | not published | $14.85 – $17.19 |