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 151–200. 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
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	35	$2,097	About average	$1,651	$13,678
Ohio Valley Surgical HospitalSpringfield, OH · CCN 360355	19	$2,098	About average	$1,652	$7,738
Atrium Health UnionMonroe, NC · CCN 340130	22	$2,100	About average	$1,673	$20,686
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	14	$2,100	About average	$1,673	$11,551
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	15	$2,101	About average	$1,650	$10,123
Texas Health Hospital FriscoFrisco, TX · CCN 670260	14	$2,103	About average	$1,676	$12,962
St Luke's Regional Medical CenterBoise, ID · CCN 130006	25	$2,103	About average	$1,674	$12,139
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	11	$2,103	About average	$1,658	$18,047
Rex HospitalRaleigh, NC · CCN 340114	79	$2,104	About average	$1,673	$11,718
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	54	$2,104	About average	$1,666	$13,423
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	15	$2,106	About average	$1,678	$16,827
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	13	$2,106	About average	$1,676	$11,830
North Carolina Specialty HospitalDurham, NC · CCN 340049	25	$2,108	About average	$1,679	$3,450
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	37	$2,109	About average	$1,678	$7,403
Franciscan Health CrawfordsvilleCrawfordsville, IN · CCN 150022	17	$2,111	About average	$1,682	$17,297
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	19	$2,112	About average	$1,682	$25,984
Robert Packer HospitalSayre, PA · CCN 390079	53	$2,114	About average	$1,678	$10,580
AdventHealth OrlandoOrlando, FL · CCN 100007	34	$2,117	About average	$1,686	$24,746
HCA Florida Highlands HospitalSebring, FL · CCN 100049	25	$2,117	About average	$1,686	$41,728
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	14	$2,117	About average	$1,686	$58,000
Morton Plant HospitalClearwater, FL · CCN 100127	18	$2,117	About average	$1,686	$22,102
North Okaloosa Medical CenterCrestview, FL · CCN 100122	17	$2,117	About average	$1,686	$48,791
Sacred Heart HospitalPensacola, FL · CCN 100025	20	$2,117	About average	$1,686	$24,894
Tampa General HospitalTampa, FL · CCN 100128	14	$2,117	About average	$1,686	$58,301
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	18	$2,117	About average	$1,681	$27,739
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	15	$2,117	About average	$1,674	$23,295
St Josephs HospitalTampa, FL · CCN 100075	14	$2,117	About average	$1,673	$17,449
Carle Health Proctor HospitalPeoria, IL · CCN 140013	42	$2,119	About average	$1,680	$25,034
Pikeville Medical CenterPikeville, KY · CCN 180044	35	$2,122	About average	$1,691	$12,326
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	15	$2,129	About average	$1,696	$13,388
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	11	$2,129	About average	$1,696	$14,040
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	65	$2,130	About average	$1,697	$22,394
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	17	$2,130	About average	$1,675	$24,654
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	20	$2,130	About average	$1,683	$6,066
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	11	$2,131	About average	$1,698	$12,700
Milton S Hershey Medical CenterHershey, PA · CCN 390256	53	$2,133	About average	$1,686	$26,370
UNC HospitalsChapel Hill, NC · CCN 340061	52	$2,134	About average	$1,700	$10,275
Reading HospitalWest Reading, PA · CCN 390044	13	$2,135	About average	$1,701	$19,716
Northside HospitalAtlanta, GA · CCN 110161	129	$2,140	About average	$1,699	$16,935
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	36	$2,146	About average	$1,702	$13,069
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$275 outlier payments per case	293	$2,156	About average	$1,716	$17,349
Lehigh Valley HospitalAllentown, PA · CCN 390133	15	$2,158	About average	$1,695	$22,418
Javon Bea HospitalRockford, IL · CCN 140239	12	$2,160	About average	$1,721	$18,755
St Johns HospitalSpringfield, IL · CCN 140053	15	$2,160	About average	$1,721	$15,032
Memorial Medical CenterSpringfield, IL · CCN 140148	41	$2,160	About average	$1,717	$10,486
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	15	$2,162	About average	$1,672	$16,665
Inova Fairfax HospitalFalls Church, VA · CCN 490063	68	$2,166	About average	$1,718	$8,411
St Lukes HospitalDuluth, MN · CCN 240047	26	$2,166	About average	$1,726	$5,457
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	12	$2,167	About average	$1,726	$55,761
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	42	$2,167	About average	$1,726	$13,221

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.