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 201–250. 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 Hermann - Texas Medical CenterHouston, TX · CCN 450068	19	$2,167	About average	$1,726	$62,612
Houston Methodist HospitalHouston, TX · CCN 450358	57	$2,167	About average	$1,722	$33,501
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	93	$2,167	About average	$1,718	$12,330
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	31	$2,167	About average	$1,715	$10,740
Emory University HospitalAtlanta, GA · CCN 110010	16	$2,169	About average	$1,728	$17,698
Northside Hospital ForsythCumming, GA · CCN 110005	82	$2,169	About average	$1,728	$18,873
Tanner Medical Center Villa RicaVilla Rica, GA · CCN 110015	22	$2,169	About average	$1,728	$12,599
Wellstar Douglas Medical CenterDouglasville, GA · CCN 110184	33	$2,169	About average	$1,728	$21,671
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	113	$2,171	About average	$1,722	$12,144
Shannon Medical CenterSan Angelo, TX · CCN 450571	19	$2,172	About average	$1,730	$14,813
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	184	$2,172	About average	$1,726	$11,967
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	76	$2,172	About average	$1,720	$24,236
Columbus Community HospitalColumbus, TX · CCN 450370	19	$2,177	About average	$1,735	$6,155
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	31	$2,178	About average	$1,735	$11,285
Watauga Medical CenterBoone, NC · CCN 340051	14	$2,178	About average	$1,735	$13,336
Carolina East Medical CenterNew Bern, NC · CCN 340131	31	$2,178	About average	$1,733	$5,642
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	104	$2,178	About average	$1,735	$15,095
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	139	$2,179	About average	$1,732	$13,161
Sanford Medical Center FargoFargo, ND · CCN 350011	28	$2,191	About average	$1,746	$7,842
Benefis Hospitals IncGreat Falls, MT · CCN 270012	11	$2,191	About average	$1,745	$11,223
Billings Clinic HospitalBillings, MT · CCN 270004	42	$2,191	About average	$1,744	$3,136
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	230	$2,191	About average	$1,743	$14,200
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	44	$2,196	About average	$1,749	$10,285
Phoenix Children's HospitalPhoenix, AZ · CCN 033302	22	$2,196	About average	$1,733	$11,905
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	35	$2,198	About average	$1,751	$8,610
St Mary Medical Center IncHobart, IN · CCN 150034	18	$2,198	About average	$1,751	$13,659
Community HospitalMunster, IN · CCN 150125	132	$2,198	About average	$1,748	$13,167
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	51	$2,199	About average	$1,743	$12,532
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	43	$2,205	About average	$1,757	$18,382
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	17	$2,205	About average	$1,757	$9,697
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	13	$2,217	About average	$1,762	$13,925
Swedish HospitalChicago, IL · CCN 140114	13	$2,219	About average	$1,768	$14,438
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	19	$2,219	About average	$1,766	$13,762
Thorek Memorial HospitalChicago, IL · CCN 140115	11	$2,219	About average	$1,756	$6,055
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	15	$2,225	About average	$1,772	$46,110
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	12	$2,225	About average	$1,770	$12,644
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	301	$2,225	About average	$1,767	$14,932
Norton-King's Daughters' HealthMadison, IN · CCN 150069	11	$2,231	About average	$1,772	$13,658
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	16	$2,234	About average	$1,780	$9,597
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	29	$2,234	About average	$1,780	$21,958
Regions HospitalSaint Paul, MN · CCN 240106	20	$2,234	About average	$1,780	$7,715
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	35	$2,234	About average	$1,774	$12,173
Main Line Hospital LankenauWynnewood, PA · CCN 390195	112	$2,238	About average	$1,776	$13,234
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	15	$2,239	About average	$1,784	$7,555
Marshfield Medical CenterMarshfield, WI · CCN 520037	28	$2,239	About average	$1,780	$9,371
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	136	$2,246	About average	$1,784	$14,333
Olmsted Medical CenterRochester, MN · CCN 240006	29	$2,248	About average	$1,790	$14,349
Northwestern Memorial HospitalChicago, IL · CCN 140281	103	$2,255	About average	$1,791	$25,073
Augusta HealthFishersville, VA · CCN 490018	46	$2,259	About average	$1,800	$10,019
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	20	$2,259	About average	$1,800	$10,174

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.