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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 New York

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
New York
Specific hospitals up to 10
Average payment across these 20 hospitals
$2,594National $2,242 · New York $2,595
Median hospital
$2,616
Lowest to highest
$1,321–$2,659
Medicare procedures
1,460

20 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
White Plains Hospital CenterWhite Plains, NY · CCN 33030412$1,32141% below the national average$1,051$31,163
Strong Memorial HospitalRochester, NY · CCN 33028581$2,453About average$1,949$11,373
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 33024167$2,47811% above the national average$1,974$11,440
Albany Medical Center HospitalAlbany, NY · CCN 33001329$2,47811% above the national average$1,974$7,179
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 33002344$2,49611% above the national average$1,962$8,103
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393152$2,58815% above the national average$2,056$19,772
Montefiore Medical CenterBronx, NY · CCN 33005952$2,59216% above the national average$2,057$25,406
Garnet Health Medical CenterMiddletown, NY · CCN 33012652$2,60816% above the national average$2,073$13,108
St Charles HospitalPort Jefferson, NY · CCN 33024635$2,61016% above the national average$2,079$12,465
Westchester Medical CenterValhalla, NY · CCN 33023444$2,61016% above the national average$2,070$39,965
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019539$2,62117% above the national average$2,081$19,360
North Shore University HospitalManhasset, NY · CCN 33010658$2,62317% above the national average$2,088$19,300
Lenox Hill HospitalNew York, NY · CCN 33011939$2,63217% above the national average$2,097$20,450
Nyu Langone HospitalsNew York, NY · CCN 330214149$2,63217% above the national average$2,097$28,314
New York-Presbyterian HospitalNew York, NY · CCN 330101244$2,64218% above the national average$2,101$21,696
NY Eye And Ear Infirmary Of Mount SinaiNew York, NY · CCN 330100298$2,64518% above the national average$2,103$12,528
Mount Sinai HospitalNew York, NY · CCN 33002416$2,65919% above the national average$2,119$18,038
St John's Riverside HospitalYonkers, NY · CCN 33020825$2,65919% above the national average$2,119$13,340
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 33035011$2,65919% above the national average$2,119$13,937
Phelps HospitalSleepy Hollow, NY · CCN 33026113$2,65919% above the national average$2,114$45,312

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont199$1,204$1,204–$1,204
South Carolina5476$1,648$1,895–$2,008
Mississippi3138$1,656$1,371–$2,000
Missouri8616$1,767$1,962–$2,041
Ohio16755$1,789$1,995–$2,036
Kansas297$1,818$1,797–$1,891
Georgia9440$1,891$1,975–$2,169
Alabama3527$1,933$1,928–$1,934
West Virginia5392$1,934$1,913–$1,946
Tennessee6187$1,948$1,969–$2,013
Louisiana8213$1,975$1,943–$1,990
Arkansas3314$1,993$1,982–$1,998
Oklahoma5382$1,995$1,940–$1,984
Michigan10647$1,999$1,987–$2,083
Florida14640$2,000$2,113–$2,117
Kentucky6472$2,004$1,997–$2,063
New Mexico2131$2,008$1,942–$2,014
Utah6447$2,032$2,022–$2,086
Nebraska4277$2,048$1,952–$2,091
Iowa4415$2,064$2,013–$2,086
Texas251,059$2,070$2,028–$2,167
Idaho275$2,081$2,078–$2,095
North Carolina18960$2,111$2,083–$2,133
Indiana14560$2,118$2,083–$2,111
Virginia8441$2,119$1,999–$2,169
Arizona380$2,142$2,136–$2,237
Maine263$2,149$2,079–$2,157
Pennsylvania181,057$2,154$2,077–$2,135
Wisconsin13754$2,170$2,106–$2,198
Montana253$2,191$2,191–$2,191
Illinois18777$2,211$2,160–$2,239
Colorado4359$2,220$2,210–$2,225
Minnesota11682$2,267$2,216–$2,274
North Dakota287$2,296$2,230–$2,308
District of Columbia351$2,317$2,281–$2,343
New Hampshire299$2,353$2,297–$2,347
Washington8359$2,363$2,337–$2,428
Rhode Island138$2,371$2,371–$2,371
Alaska112$2,412$2,412–$2,412
Oregon4343$2,447$2,450–$2,452
Massachusetts121,148$2,493$2,492–$2,510
Nevada143$2,503$2,503–$2,503
Hawaii118$2,569$2,569–$2,569
Connecticut6224$2,574$2,580–$2,624
New Jersey8238$2,579$2,502–$2,637
New York211,525$2,595$2,588–$2,642
California382,761$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.