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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Year of care

363 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. 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
Camc Charleston Surgical HospitalCharleston, WV · CCN 510091	20	$1,981	12% below the national average	$1,578	$4,510
Riverside Regional Medical CenterNewport News, VA · CCN 490052	53	$1,982	12% below the national average	$1,571	$9,397
Cleveland ClinicCleveland, OH · CCN 360180	299	$1,984	11% below the national average	$1,577	$9,475
Saint Francis Hospital, IncTulsa, OK · CCN 370091	11	$1,984	11% below the national average	$1,581	$16,910
University Of Missouri Health CareColumbia, MO · CCN 260141	72	$1,988	11% below the national average	$1,583	$16,323
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	196	$1,992	11% below the national average	$1,581	$16,035
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	235	$1,992	11% below the national average	$1,581	$14,811
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	36	$1,992	11% below the national average	$1,574	$21,286
Christus Mother Frances HospitalTyler, TX · CCN 450102	48	$1,994	11% below the national average	$1,578	$22,961
Wood County HospitalBowling Green, OH · CCN 360029	13	$1,994	11% below the national average	$1,581	$6,717
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	22	$1,995	11% below the national average	$1,589	$9,626
Medina HospitalMedina, OH · CCN 360091	15	$1,995	11% below the national average	$1,589	$11,076
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	11	$1,995	11% below the national average	$1,589	$11,967
UH Cleveland Medical CenterCleveland, OH · CCN 360137	23	$1,995	11% below the national average	$1,587	$14,483
Shands JacksonvilleJacksonville, FL · CCN 100001	14	$1,996	11% below the national average	$1,566	$29,262
Kell West Regional HospitalWichita Falls, TX · CCN 450827	22	$1,997	11% below the national average	$1,588	$5,059
Erlanger Medical CenterChattanooga, TN · CCN 440104	23	$1,998	11% below the national average	$1,592	$10,809
Sentara Leigh HospitalNorfolk, VA · CCN 490046	50	$2,001	11% below the national average	$1,579	$14,415
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	57	$2,003	11% below the national average	$1,588	$6,115
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	131	$2,003	11% below the national average	$1,594	$11,354
Mary Greeley Medical CenterAmes, IA · CCN 160030	32	$2,007	10% below the national average	$1,599	$10,963
Prisma Health Richland HospitalColumbia, SC · CCN 420018	63	$2,008	10% below the national average	$1,600	$25,484
Summit Medical Center, LLCEdmond, OK · CCN 370225	310	$2,008	10% below the national average	$1,598	$28,693
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	51	$2,008	10% below the national average	$1,595	$17,343
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	97	$2,011	10% below the national average	$1,599	$13,081
Tristar Centennial Medical CenterNashville, TN · CCN 440161	24	$2,013	10% below the national average	$1,604	$33,401
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	30	$2,013	10% below the national average	$1,604	$18,312
Baptist Health HardinElizabethtown, KY · CCN 180012	18	$2,013	10% below the national average	$1,594	$22,309
St Mark's HospitalSalt Lake City, UT · CCN 460047	20	$2,014	10% below the national average	$1,587	$15,850
St Lukes HospitalCedar Rapids, IA · CCN 160045	29	$2,015	10% below the national average	$1,606	$7,145
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	13	$2,018	10% below the national average	$1,589	$22,649
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	65	$2,021	About average	$1,602	$10,049
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298	34	$2,023	About average	$1,606	$23,512
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	282	$2,024	About average	$1,610	$6,038
Willis Knighton Medical CenterShreveport, LA · CCN 190111	38	$2,025	About average	$1,614	$17,169
Rio Grande Regional HospitalMcallen, TX · CCN 450711	27	$2,028	About average	$1,615	$19,577
University Health SystemSan Antonio, TX · CCN 450213	20	$2,028	About average	$1,615	$17,628
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	12	$2,028	About average	$1,615	$17,903
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	45	$2,028	About average	$1,612	$15,820
University Medical CenterLubbock, TX · CCN 450686	64	$2,028	About average	$1,610	$21,636
Johnson City Medical CenterJohnson City, TN · CCN 440063	12	$2,030	About average	$1,617	$16,310
Mercy Health - West HospitalCincinnati, OH · CCN 360234	11	$2,032	About average	$1,619	$8,476
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	18	$2,032	About average	$1,619	$21,820
West Chester HospitalWest Chester, OH · CCN 360354	12	$2,032	About average	$1,619	$25,624
Bethesda NorthCincinnati, OH · CCN 360179	20	$2,032	About average	$1,606	$13,850
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	14	$2,033	About average	$1,620	$5,882
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	11	$2,034	About average	$1,620	$20,535
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	42	$2,034	About average	$1,616	$14,108
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	14	$2,036	About average	$1,621	$21,605
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	21	$2,039	About average	$1,625	$26,588

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.