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 |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $28.53 – $28.53 |
| hillcrest hospital | Mayfield Heights, OH | not published | $9.51 – $11.01 |
| lutheran hospital | Cleveland, OH | not published | $8.69 – $10.07 |
| fairview hospital | Cleveland, OH | not published | $9.13 – $10.57 |
| euclid hospital | Euclid, OH | not published | $9.72 – $11.25 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $15.49 – $17.94 |
| avon hospital | Avon, OH | not published | $9.49 – $9.67 |
| akron general | Akron, OH | not published | $8.84 – $10.24 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $28.53 – $28.53 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $263.08 – $263.08 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $263.08 – $263.08 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $263.08 – $263.08 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $28.53 – $28.53 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $263.08 – $263.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $263.08 – $263.08 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $15.71 – $74.50 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $15.71 – $74.50 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $15.71 – $126.00 |
| Berger Hospital | Circleville, OH | not published | $36.45 – $36.45 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $15.71 – $150.00 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $15.71 – $74.50 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $15.71 – $74.50 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $16.44 – $49.74 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $15.71 – $74.50 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $15.71 – $74.50 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $15.71 – $74.50 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $619.54 – $705.13 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $15.71 – $74.50 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $38.34 – $38.34 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $15.71 – $126.00 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $381.85 – $434.38 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $263.08 – $263.08 |
| Adventhealth Ottawa | Ottawa, KS | not published | $56.58 – $56.58 |
| Stephens Memorial Hospital | Norway, ME | not published | $54.23 – $54.23 |
| North Central Bronx | Bronx, NY | not published | $23.92 – $60.29 |
| Corewell Health Wayne | Wayne, MI | not published | $16.28 – $16.28 |
| Corewell Health Troy | Troy, MI | not published | $18.44 – $36.85 |
| Corewell Health Trenton | Trenton, MI | not published | $16.34 – $16.34 |
| Corewell Health Taylor | Taylor, MI | not published | $16.43 – $16.43 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $16.35 – $37.02 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $51.38 – $51.38 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $15.71 – $74.50 |
| South Brooklyn Health | Brooklyn, NY | not published | $32.02 – $60.29 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $51.38 – $51.38 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $26.22 – $54.22 |
| Franklin Memorial Hospital | Farmington, ME | not published | $37.18 – $54.23 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $38.34 – $38.34 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $20.90 – $20.90 |
| Jacobi Medical Center | Bronx, NY | not published | $23.92 – $60.29 |