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

Hospitals in Illinois

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.

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Illinois

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Year of care

Average payment across these 18 hospitals: $2,211National $2,242 · Illinois $2,211
Median hospital: $2,205
Lowest to highest: $2,101–$2,273
Medicare procedures: 777

18 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	15	$2,101	About average	$1,650	$10,123
Carle Health Proctor HospitalPeoria, IL · CCN 140013	42	$2,119	About average	$1,680	$25,034
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
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	76	$2,172	About average	$1,720	$24,236
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	104	$2,178	About average	$1,735	$15,095
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
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
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	136	$2,246	About average	$1,784	$14,333
Northwestern Memorial HospitalChicago, IL · CCN 140281	103	$2,255	About average	$1,791	$25,073
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

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.