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 101–150. 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
Northern Light Inland HospitalWaterville, ME · CCN 200041 · +$2,592 outlier payments per case	19	$2,040	About average	$1,623	$23,046
St Joseph Medical CenterKansas City, MO · CCN 260085	26	$2,041	About average	$1,626	$13,065
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	41	$2,043	About average	$1,627	$16,387
South Central Regional Medical CenterLaurel, MS · CCN 250058	22	$2,044	About average	$1,628	$6,670
Miami Valley HospitalDayton, OH · CCN 360051	18	$2,045	About average	$1,630	$15,022
Memorial HealthcareOwosso, MI · CCN 230121	55	$2,046	About average	$1,629	$3,049
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	32	$2,048	About average	$1,619	$8,850
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	93	$2,051	About average	$1,627	$29,217
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	22	$2,056	About average	$1,638	$14,586
Mayo ClinicJacksonville, FL · CCN 100151	83	$2,056	About average	$1,625	$19,374
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	36	$2,057	About average	$1,638	$25,229
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	85	$2,062	About average	$1,637	$8,639
Catawba Valley Medical CenterHickory, NC · CCN 340143	18	$2,063	About average	$1,644	$22,097
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	43	$2,064	About average	$1,637	$12,500
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	51	$2,064	About average	$1,630	$10,797
Greenwich Hospital Association -Greenwich, CT · CCN 070018	14	$2,068	About average	$1,648	$10,201
The Nebraska Medical CenterOmaha, NE · CCN 280013	150	$2,069	About average	$1,645	$9,568
Mountain View HospitalIdaho Falls, ID · CCN 130065	50	$2,069	About average	$1,641	$5,344
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	130	$2,070	About average	$1,642	$15,467
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	343	$2,071	About average	$1,646	$12,694
UPMC AltoonaAltoona, PA · CCN 390073	11	$2,073	About average	$1,619	$15,265
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	45	$2,076	About average	$1,654	$18,704
Frye Regional Medical CenterHickory, NC · CCN 340116	17	$2,078	About average	$1,655	$48,652
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	206	$2,079	About average	$1,650	$8,426
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	214	$2,080	About average	$1,657	$14,098
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	21	$2,080	About average	$1,641	$16,646
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	75	$2,083	About average	$1,655	$16,398
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	72	$2,083	About average	$1,654	$12,272
Beaumont Hospital, TroyTroy, MI · CCN 230269	28	$2,083	About average	$1,649	$18,515
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	23	$2,083	About average	$1,660	$11,568
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	24	$2,083	About average	$1,660	$16,521
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	55	$2,083	About average	$1,653	$10,713
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	37	$2,083	About average	$1,660	$14,616
Northwest Health - PorterValparaiso, IN · CCN 150035	20	$2,084	About average	$1,661	$17,676
Duke University HospitalDurham, NC · CCN 340030	284	$2,084	About average	$1,654	$14,732
Harper University HospitalDetroit, MI · CCN 230104	11	$2,087	About average	$1,663	$30,004
Lincoln Surgical HospitalLincoln, NE · CCN 280127	95	$2,087	About average	$1,656	$5,753
Jefferson HospitalJefferson Hills, PA · CCN 390265	12	$2,087	About average	$1,663	$13,991
St Clair HospitalPittsburgh, PA · CCN 390228	13	$2,087	About average	$1,663	$13,306
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	46	$2,087	About average	$1,663	$33,138
UPMC MercyPittsburgh, PA · CCN 390028	70	$2,087	About average	$1,660	$15,938
Allegheny General HospitalPittsburgh, PA · CCN 390050	12	$2,087	About average	$1,655	$15,544
Geisinger Medical CenterDanville, PA · CCN 390006	102	$2,087	About average	$1,659	$27,624
Franciscan Health Crown PointCrown Point, IN · CCN 150126	16	$2,088	About average	$1,642	$11,414
Bluffton Regional Medical CenterBluffton, IN · CCN 150075	21	$2,088	About average	$1,664	$20,568
Aspirus Wausau HospitalWausau, WI · CCN 520030	11	$2,091	About average	$1,659	$10,636
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	124	$2,091	About average	$1,664	$5,878
Holy Cross Hospital - Salt LakeSalt Lake City, UT · CCN 460003	18	$2,093	About average	$1,664	$13,606
Holy Cross Hospital-DavisLayton, UT · CCN 460041	11	$2,094	About average	$1,651	$9,081
Ohio State University State Health SystemColumbus, OH · CCN 360085	104	$2,097	About average	$1,671	$14,259

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.