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 301–350. 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
Clara Maass Medical CenterBelleville, NJ · CCN 310009	24	$2,510	12% above the national average	$2,000	$10,133
The Queens Medical CenterHonolulu, HI · CCN 120001	18	$2,569	15% above the national average	$2,022	$18,276
Hartford HospitalHartford, CT · CCN 070025	58	$2,571	15% above the national average	$2,040	$6,914
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	152	$2,588	15% above the national average	$2,056	$19,772
Montefiore Medical CenterBronx, NY · CCN 330059	52	$2,592	16% above the national average	$2,057	$25,406
Hackensack University Medical CenterHackensack, NJ · CCN 310001	32	$2,593	16% above the national average	$2,052	$11,383
Saint Mary's HospitalWaterbury, CT · CCN 070016	35	$2,607	16% above the national average	$2,077	$17,230
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	28	$2,607	16% above the national average	$2,077	$11,085
Garnet Health Medical CenterMiddletown, NY · CCN 330126	52	$2,608	16% above the national average	$2,073	$13,108
St Charles HospitalPort Jefferson, NY · CCN 330246	35	$2,610	16% above the national average	$2,079	$12,465
Westchester Medical CenterValhalla, NY · CCN 330234	44	$2,610	16% above the national average	$2,070	$39,965
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	39	$2,621	17% above the national average	$2,081	$19,360
North Shore University HospitalManhasset, NY · CCN 330106	58	$2,623	17% above the national average	$2,088	$19,300
Overlook Medical CenterSummit, NJ · CCN 310051	27	$2,630	17% above the national average	$2,095	$13,021
The University HospitalNewark, NJ · CCN 310119	25	$2,630	17% above the national average	$2,095	$14,481
Yale-New Haven HospitalNew Haven, CT · CCN 070022	36	$2,630	17% above the national average	$2,090	$11,010
Bridgeport HospitalBridgeport, CT · CCN 070010	53	$2,632	17% above the national average	$2,097	$12,899
Lenox Hill HospitalNew York, NY · CCN 330119	39	$2,632	17% above the national average	$2,097	$20,450
Nyu Langone HospitalsNew York, NY · CCN 330214	149	$2,632	17% above the national average	$2,097	$28,314
New York-Presbyterian HospitalNew York, NY · CCN 330101	244	$2,642	18% above the national average	$2,101	$21,696
NY Eye And Ear Infirmary Of Mount SinaiNew York, NY · CCN 330100	298	$2,645	18% above the national average	$2,103	$12,528
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	21	$2,659	19% above the national average	$2,119	$29,180
Mount Sinai HospitalNew York, NY · CCN 330024	16	$2,659	19% above the national average	$2,119	$18,038
St John's Riverside HospitalYonkers, NY · CCN 330208	25	$2,659	19% above the national average	$2,119	$13,340
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	11	$2,659	19% above the national average	$2,119	$13,937
Valley HospitalParamus, NJ · CCN 310012	43	$2,659	19% above the national average	$2,116	$13,437
Phelps HospitalSleepy Hollow, NY · CCN 330261	13	$2,659	19% above the national average	$2,114	$45,312
Woodland Memorial HospitalWoodland, CA · CCN 050127	16	$2,687	20% above the national average	$2,081	$9,597
Sharp Memorial HospitalSan Diego, CA · CCN 050100	23	$2,773	24% above the national average	$2,190	$28,730
Keck Hospital Of USCLos Angeles, CA · CCN 050696	118	$2,834	26% above the national average	$2,244	$17,004
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	289	$2,849	27% above the national average	$2,265	$13,659
Uci Health-OrangeOrange, CA · CCN 050348	466	$2,863	28% above the national average	$2,277	$14,196
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	398	$2,866	28% above the national average	$2,280	$17,118
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	24	$2,873	28% above the national average	$2,289	$10,933
Enloe HealthChico, CA · CCN 050039	13	$2,873	28% above the national average	$2,289	$30,230
Grossmont HospitalLa Mesa, CA · CCN 050026	22	$2,873	28% above the national average	$2,289	$21,530
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	16	$2,873	28% above the national average	$2,289	$13,904
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	50	$2,873	28% above the national average	$2,289	$38,111
Mercy HospitalBakersfield, CA · CCN 050295	13	$2,873	28% above the national average	$2,289	$23,549
Saint Agnes Medical CenterFresno, CA · CCN 050093	20	$2,873	28% above the national average	$2,289	$19,194
Scripps Green HospitalLa Jolla, CA · CCN 050424	14	$2,873	28% above the national average	$2,289	$45,987
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	27	$2,873	28% above the national average	$2,287	$14,713
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	30	$2,873	28% above the national average	$2,283	$17,856
Oroville HospitalOroville, CA · CCN 050030	13	$2,873	28% above the national average	$2,282	$8,345
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	24	$2,873	28% above the national average	$2,281	$23,894
Fresno Surgical HospitalFresno, CA · CCN 050708	65	$2,873	28% above the national average	$2,269	$10,435
Mercy Medical Center ReddingRedding, CA · CCN 050280	16	$2,874	28% above the national average	$2,253	$22,053
University Of California Davis Medical CenterSacramento, CA · CCN 050599	214	$2,891	29% above the national average	$2,298	$22,882
Mercy General HospitalSacramento, CA · CCN 050017	23	$2,984	33% above the national average	$2,378	$12,477
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	11	$3,077	37% above the national average	$2,452	$11,329

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.