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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

363 hospitals reported at least 11 Medicare procedures for this in 2024; showing 251–300. 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
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	24	$2,260	About average	$1,750	$12,534
MedStar Washington Hospital CenterWashington, DC · CCN 090011	15	$2,267	About average	$1,781	$12,672
Wills Eye HospitalPhiladelphia, PA · CCN 390331	400	$2,270	About average	$1,808	$8,909
Elliot HospitalManchester, NH · CCN 300012	19	$2,272	About average	$1,798	$16,940
Loyola University Medical CenterMaywood, IL · CCN 140276	33	$2,273	About average	$1,811	$13,417
Rush University Medical CenterChicago, IL · CCN 140119	36	$2,273	About average	$1,811	$18,458
The University Of Chicago Medical CenterChicago, IL · CCN 140088	46	$2,273	About average	$1,811	$27,553
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	52	$2,277	About average	$1,791	$22,765
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	13	$2,279	About average	$1,816	$22,872
Sibley Memorial HospitalWashington, DC · CCN 090005	20	$2,296	About average	$1,810	$19,037
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	406	$2,301	About average	$1,828	$13,500
Virginia Mason Medical CenterSeattle, WA · CCN 500005	62	$2,310	About average	$1,831	$12,089
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	23	$2,330	About average	$1,856	$3,820
Lake Region Healthcare CorporationFergus Falls, MN · CCN 240052	12	$2,330	About average	$1,851	$7,215
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	22	$2,345	About average	$1,869	$16,012
Harborview Medical CenterSeattle, WA · CCN 500064	105	$2,345	About average	$1,866	$11,939
Trinity HospitalsMinot, ND · CCN 350006	59	$2,346	About average	$1,869	$6,353
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	11	$2,351	About average	$1,830	$14,474
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	77	$2,354	About average	$1,876	$35,163
Rhode Island HospitalProvidence, RI · CCN 410007	38	$2,371	About average	$1,889	$7,385
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	80	$2,372	About average	$1,890	$20,495
UNC Health Care WayneGoldsboro, NC · CCN 340010	39	$2,381	About average	$1,897	$11,830
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	37	$2,386	About average	$1,901	$17,364
George Washington University HospitalWashington, DC · CCN 090001	16	$2,391	About average	$1,893	$41,158
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	17	$2,408	About average	$1,918	$21,623
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	12	$2,412	About average	$1,922	$19,947
Boston Medical CenterBoston, MA · CCN 220031	26	$2,433	About average	$1,923	$11,072
OHSU Hospital And ClinicsPortland, OR · CCN 380009	284	$2,446	About average	$1,947	$10,344
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	19	$2,452	About average	$1,954	$19,042
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	18	$2,452	About average	$1,954	$12,649
Providence St Vincent Medical CenterPortland, OR · CCN 380004	22	$2,452	About average	$1,954	$15,853
Strong Memorial HospitalRochester, NY · CCN 330285	81	$2,453	About average	$1,949	$11,373
Tufts Medical CenterBoston, MA · CCN 220116	106	$2,472	10% above the national average	$1,962	$6,845
Bayshore Medical CenterHolmdel, NJ · CCN 310112	21	$2,477	10% above the national average	$1,974	$22,083
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	67	$2,478	11% above the national average	$1,974	$11,440
Albany Medical Center HospitalAlbany, NY · CCN 330013	29	$2,478	11% above the national average	$1,974	$7,179
JFK University Medical CenterEdison, NJ · CCN 310108	45	$2,479	11% above the national average	$1,971	$20,980
Confluence Health HospitalWenatchee, WA · CCN 500016	51	$2,491	11% above the national average	$1,976	$11,684
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	44	$2,496	11% above the national average	$1,962	$8,103
Massachusetts Eye And Ear Infirmary -Boston, MA · CCN 220075	711	$2,499	11% above the national average	$1,987	$7,558
Renown Regional Medical CenterReno, NV · CCN 290001	43	$2,503	12% above the national average	$1,994	$25,499
Swedish Medical CenterSeattle, WA · CCN 500027	13	$2,504	12% above the national average	$1,995	$16,187
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	136	$2,510	12% above the national average	$2,000	$4,230
Baystate Medical CenterSpringfield, MA · CCN 220077	16	$2,510	12% above the national average	$2,000	$7,059
Emerson Hospital -W Concord, MA · CCN 220084	30	$2,510	12% above the national average	$2,000	$6,466
Holyoke Medical CenterHolyoke, MA · CCN 220024	16	$2,510	12% above the national average	$2,000	$9,824
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	18	$2,510	12% above the national average	$2,000	$17,243
Northeast Hospital CorporationBeverly, MA · CCN 220033	11	$2,510	12% above the national average	$1,998	$5,007
South Shore HospitalSouth Weymouth, MA · CCN 220100	37	$2,510	12% above the national average	$1,996	$4,694
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	17	$2,510	12% above the national average	$1,995	$6,957

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.