Outpatient procedure · APC 5503 · Surgery or procedure

Level 3 Extraocular, Repair, and Plastic Eye Procedures

In 2024, Medicare and patients paid an average of $2,242 per procedure at 366 hospitals. Half of hospitals averaged between $2,032 and $2,385.

Also known as: Eyelid surgery, eye surgery

National figures, 2024

Average payment per case: $2,242
Typical range (middle half of hospitals): $2,032–$2,385
Medicare’s share: $1,78079% of the payment
Average billed charge: $16,126
Hospitals reporting: 36621,531 procedures

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363 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 3 Extraocular, Repair, and Plastic Eye Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Memorial Hospital At GulfportGulfport, MS · CCN 250019	37	$785	65% below the national average	$625	$9,823
ProMedica Toledo HospitalToledo, OH · CCN 360068	117	$850	62% below the national average	$672	$19,973
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	138	$854	62% below the national average	$677	$13,657
MetroHealth SystemCleveland, OH · CCN 360059	36	$983	56% below the national average	$574	$8,209
UF Health Shands HospitalGainesville, FL · CCN 100113	61	$1,023	54% below the national average	$812	$16,674
UPMC MemorialYork, PA · CCN 390101	12	$1,079	52% below the national average	$860	$11,461
MUSC Medical CenterCharleston, SC · CCN 420004 · +$431 outlier payments per case	201	$1,175	48% below the national average	$930	$22,557
Piedmont Hospital, IncAtlanta, GA · CCN 110083	112	$1,189	47% below the national average	$944	$24,438
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	99	$1,204	46% below the national average	$738	$8,274
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	21	$1,252	44% below the national average	$997	$35,306
White Plains Hospital CenterWhite Plains, NY · CCN 330304	12	$1,321	41% below the national average	$1,051	$31,163
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	87	$1,391	38% below the national average	$1,100	$17,388
Doctors Hospital Of MantecaManteca, CA · CCN 050118	15	$1,409	37% below the national average	$1,122	$50,893
Columbus Community Hospital, IncColumbus, NE · CCN 280111	17	$1,600	29% below the national average	$1,275	$3,104
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	23	$1,617	28% below the national average	$1,289	$28,713
Hendrick Medical CenterAbilene, TX · CCN 450229	49	$1,632	27% below the national average	$1,301	$27,822
Crozer Chester Medical CenterUpland, PA · CCN 390180	12	$1,703	24% below the national average	$1,357	$13,802
University Of Kansas HospitalKansas City, KS · CCN 170040	62	$1,750	22% below the national average	$1,390	$15,229
Henry Ford Health HospitalDetroit, MI · CCN 230053	43	$1,844	18% below the national average	$1,461	$9,585
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	12	$1,853	17% below the national average	$1,449	$18,686
Vanderbilt University Medical CenterNashville, TN · CCN 440039	86	$1,880	16% below the national average	$1,493	$25,189
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	11	$1,881	16% below the national average	$1,469	$25,552
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	30	$1,895	15% below the national average	$1,488	$15,885
UNM HospitalAlbuquerque, NM · CCN 320001	38	$1,905	15% below the national average	$1,504	$7,716
Reynolds Memorial Hospital, IncGlen Dale, WV · CCN 510013	36	$1,909	15% below the national average	$1,521	$8,098
United Hospital Center, IncBridgeport, WV · CCN 510006	28	$1,913	15% below the national average	$1,500	$8,147
Mon Health Medical CenterMorgantown, WV · CCN 510024	128	$1,919	14% below the national average	$1,517	$25,150
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	29	$1,923	14% below the national average	$1,529	$4,692
Huntsville HospitalHuntsville, AL · CCN 010039	73	$1,934	14% below the national average	$1,530	$9,486
Callahan Eye HospitalBirmingham, AL · CCN 010018	425	$1,934	14% below the national average	$1,537	$8,408
Salina Surgical HospitalSalina, KS · CCN 170187	35	$1,938	14% below the national average	$1,544	$3,111
O U Medical CenterOklahoma City, OK · CCN 370093	22	$1,940	13% below the national average	$1,525	$42,065
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	54	$1,943	13% below the national average	$1,548	$11,119
Lafayette Surgical Specialty HospitalLafayette, LA · CCN 190259	11	$1,943	13% below the national average	$1,548	$9,807
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	20	$1,943	13% below the national average	$1,548	$12,607
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	28	$1,943	13% below the national average	$1,541	$33,256
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	180	$1,946	13% below the national average	$1,547	$11,404
OneCore HealthOklahoma City, OK · CCN 370220	27	$1,954	13% below the national average	$1,545	$16,542
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	96	$1,954	13% below the national average	$1,555	$12,039
University Of Mississippi Medical CenterJackson, MS · CCN 250001	79	$1,956	13% below the national average	$1,559	$11,023
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	12	$1,959	13% below the national average	$1,545	$17,378
University Of Kentucky HospitalLexington, KY · CCN 180067	105	$1,964	12% below the national average	$1,543	$13,177
Cox Medical CentersSpringfield, MO · CCN 260040	15	$1,965	12% below the national average	$1,560	$11,902
Spectrum HealthGrand Rapids, MI · CCN 230038	19	$1,971	12% below the national average	$1,553	$12,095
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	22	$1,971	12% below the national average	$1,570	$26,747
Candler HospitalSavannah, GA · CCN 110024	15	$1,975	12% below the national average	$1,574	$15,904
SGMC HealthValdosta, GA · CCN 110122	11	$1,975	12% below the national average	$1,574	$28,077
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	20	$1,978	12% below the national average	$1,574	$11,792
AvalaCovington, LA · CCN 190267	11	$1,979	12% below the national average	$1,577	$15,191
East Jefferson General HospitalMetairie, LA · CCN 190176	17	$1,979	12% below the national average	$1,576	$56,423

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 19,046 procedures at 384 hospitals · 2021: 22,329 procedures at 396 hospitals · 2022: 22,867 procedures at 412 hospitals · 2023: 32,364 procedures at 398 hospitals · 2024: 21,531 procedures at 366 hospitals

View data as a table

National average payment and billed charge for Level 3 Extraocular, Repair, and Plastic Eye Procedures
Year of care	Average payment	Average billed charge
2020	$1,965	$13K
2021	$2,036	$13K
2022	$2,060	$14K
2023	$1,465	$10K
2024	$2,242	$16K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 47 states

Average payment by state for Level 3 Extraocular, Repair, and Plastic Eye Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	99	$1,204	$1,204–$1,204
South Carolina	5	476	$1,648	$1,895–$2,008
Mississippi	3	138	$1,656	$1,371–$2,000
Missouri	8	616	$1,767	$1,962–$2,041
Ohio	16	755	$1,789	$1,995–$2,036
Kansas	2	97	$1,818	$1,797–$1,891
Georgia	9	440	$1,891	$1,975–$2,169
Alabama	3	527	$1,933	$1,928–$1,934
West Virginia	5	392	$1,934	$1,913–$1,946
Tennessee	6	187	$1,948	$1,969–$2,013
Louisiana	8	213	$1,975	$1,943–$1,990
Arkansas	3	314	$1,993	$1,982–$1,998
Oklahoma	5	382	$1,995	$1,940–$1,984
Michigan	10	647	$1,999	$1,987–$2,083
Florida	14	640	$2,000	$2,113–$2,117
Kentucky	6	472	$2,004	$1,997–$2,063
New Mexico	2	131	$2,008	$1,942–$2,014
Utah	6	447	$2,032	$2,022–$2,086
Nebraska	4	277	$2,048	$1,952–$2,091
Iowa	4	415	$2,064	$2,013–$2,086
Texas	25	1,059	$2,070	$2,028–$2,167
Idaho	2	75	$2,081	$2,078–$2,095
North Carolina	18	960	$2,111	$2,083–$2,133
Indiana	14	560	$2,118	$2,083–$2,111
Virginia	8	441	$2,119	$1,999–$2,169
Arizona	3	80	$2,142	$2,136–$2,237
Maine	2	63	$2,149	$2,079–$2,157
Pennsylvania	18	1,057	$2,154	$2,077–$2,135
Wisconsin	13	754	$2,170	$2,106–$2,198
Montana	2	53	$2,191	$2,191–$2,191
Illinois	18	777	$2,211	$2,160–$2,239
Colorado	4	359	$2,220	$2,210–$2,225
Minnesota	11	682	$2,267	$2,216–$2,274
North Dakota	2	87	$2,296	$2,230–$2,308
District of Columbia	3	51	$2,317	$2,281–$2,343
New Hampshire	2	99	$2,353	$2,297–$2,347
Washington	8	359	$2,363	$2,337–$2,428
Rhode Island	1	38	$2,371	$2,371–$2,371
Alaska	1	12	$2,412	$2,412–$2,412
Oregon	4	343	$2,447	$2,450–$2,452
Massachusetts	12	1,148	$2,493	$2,492–$2,510
Nevada	1	43	$2,503	$2,503–$2,503
Hawaii	1	18	$2,569	$2,569–$2,569
Connecticut	6	224	$2,574	$2,580–$2,624
New Jersey	8	238	$2,579	$2,502–$2,637
New York	21	1,525	$2,595	$2,588–$2,642
California	38	2,761	$2,975	$2,873–$3,248

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.