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Outpatient procedure · APC 5504 · Surgery or procedure

Level 4 Extraocular, Repair, and Plastic Eye Procedures

In 2024, Medicare and patients paid an average of $3,737 per procedure at 98 hospitals. Half of hospitals averaged between $3,349 and $3,881.

Also known as: Eyelid surgery, eye surgery

National figures, 2024

Average payment per case
$3,737
Typical range (middle half of hospitals)
$3,349–$3,881
Medicare’s share
$2,96979% of the payment
Average billed charge
$27,173
Hospitals reporting
983,051 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

94 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–94. Download as CSV

Medicare payments per case for Level 4 Extraocular, Repair, and Plastic Eye Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sanford Medical Center FargoFargo, ND · CCN 35001121$3,497About average$2,751$11,660
Mayo ClinicJacksonville, FL · CCN 10015117$3,502About average$2,790$27,447
Tampa General HospitalTampa, FL · CCN 10012812$3,502About average$2,790$84,941
HCA Florida South Tampa HospitalTampa, FL · CCN 10020618$3,502About average$2,788$62,435
Main Line Hospital LankenauWynnewood, PA · CCN 39019514$3,518About average$2,760$17,510
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 45005416$3,529About average$2,811$15,565
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 45006822$3,585About average$2,856$70,276
Baylor St Lukes Medical CenterHouston, TX · CCN 45019347$3,585About average$2,855$24,369
Houston Methodist HospitalHouston, TX · CCN 45035843$3,585About average$2,854$45,232
Northside HospitalAtlanta, GA · CCN 11016134$3,588About average$2,853$20,750
Inova Fairfax HospitalFalls Church, VA · CCN 49006311$3,626About average$2,889$10,153
Northwestern Memorial HospitalChicago, IL · CCN 14028123$3,630About average$2,858$53,410
Milton S Hershey Medical CenterHershey, PA · CCN 39025611$3,639About average$2,900$44,102
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 14024223$3,671About average$2,925$25,256
University Of Colorado Hospital AuthorityAurora, CO · CCN 06002438$3,681About average$2,932$26,090
Wills Eye HospitalPhiladelphia, PA · CCN 39033199$3,756About average$2,993$20,367
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015030$3,760About average$2,996$26,155
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 03003827$3,770About average$3,004$47,176
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 22000112$3,877About average$3,033$17,886
Harborview Medical CenterSeattle, WA · CCN 50006452$3,880About average$3,092$24,811
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 50005418$3,881About average$3,081$19,588
Mayo Clinic Hospital RochesterRochester, MN · CCN 24001081$3,905About average$3,095$23,161
Rhode Island HospitalProvidence, RI · CCN 41000714$3,924About average$3,126$9,879
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 50005111$3,949About average$3,146$24,899
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 30000311$3,950About average$3,147$27,265
Tufts Medical CenterBoston, MA · CCN 22011617$3,958About average$3,114$11,049
OHSU Hospital And ClinicsPortland, OR · CCN 38000972$4,057About average$3,232$14,181
Albany Medical Center HospitalAlbany, NY · CCN 33001316$4,099About average$3,266$12,160
Massachusetts Eye And Ear Infirmary -Boston, MA · CCN 220075119$4,15211% above the national average$3,307$12,597
Nyu Langone HospitalsNew York, NY · CCN 33021428$4,23113% above the national average$3,346$31,507
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039318$4,31816% above the national average$3,441$27,672
North Shore University HospitalManhasset, NY · CCN 33010611$4,35116% above the national average$3,467$21,056
The University HospitalNewark, NJ · CCN 31011913$4,35116% above the national average$3,467$22,631
New York-Presbyterian HospitalNew York, NY · CCN 33010164$4,40018% above the national average$3,505$33,904
NY Eye And Ear Infirmary Of Mount SinaiNew York, NY · CCN 33010033$4,40018% above the national average$3,505$18,039
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 33035017$4,40018% above the national average$3,505$11,638
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 05026262$4,69226% above the national average$3,726$18,732
Uci Health-OrangeOrange, CA · CCN 05034892$4,71226% above the national average$3,746$21,634
Keck Hospital Of USCLos Angeles, CA · CCN 05069620$4,75427% above the national average$3,787$32,722
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002564$4,75427% above the national average$3,783$34,201
Loma Linda University Medical CenterLoma Linda, CA · CCN 05032712$4,75427% above the national average$3,772$63,738
University Of California Davis Medical CenterSacramento, CA · CCN 05059933$4,81929% above the national average$3,840$38,048
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$1,645 outlier payments per case40$5,44446% above the national average$4,338$57,632
Stanford Health CareStanford, CA · CCN 050441 · +$1,056 outlier payments per case71$5,44546% above the national average$4,336$88,624

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 3,583 procedures at 131 hospitals · 2021: 3,499 procedures at 121 hospitals · 2022: 3,196 procedures at 105 hospitals · 2023: 3,171 procedures at 110 hospitals · 2024: 3,051 procedures at 98 hospitals
View data as a table
National average payment and billed charge for Level 4 Extraocular, Repair, and Plastic Eye Procedures
Year of careAverage paymentAverage billed charge
2020$3,168$21K
2021$3,361$22K
2022$3,422$24K
2023$3,541$25K
2024$3,737$27K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 37 states
Average payment by state for Level 4 Extraocular, Repair, and Plastic Eye Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Missouri272$2,868$2,221–$2,927
South Carolina378$2,897$2,843–$3,329
Alabama176$3,095$3,095–$3,095
West Virginia121$3,116$3,116–$3,116
Kansas120$3,186$3,186–$3,186
Arkansas131$3,235$3,235–$3,235
Mississippi111$3,237$3,237–$3,237
Tennessee378$3,237$3,228–$3,247
Michigan3170$3,245$3,015–$3,237
Oklahoma146$3,331$3,331–$3,331
Kentucky353$3,339$3,330–$3,340
Ohio364$3,342$3,338–$3,464
Maine112$3,375$3,375–$3,375
Utah385$3,399$3,407–$3,464
Georgia247$3,405$3,091–$3,423
North Carolina4120$3,407$3,300–$3,396
Virginia344$3,429$3,364–$3,495
Nebraska167$3,443$3,443–$3,443
Indiana339$3,450$3,430–$3,470
Iowa142$3,451$3,451–$3,451
Wisconsin277$3,475$3,464–$3,485
Florida4152$3,484$3,496–$3,502
Texas12295$3,485$3,355–$3,585
North Dakota121$3,497$3,497–$3,497
Illinois493$3,642$3,575–$3,693
Pennsylvania5153$3,669$3,453–$3,639
Colorado138$3,681$3,681–$3,681
Arizona127$3,770$3,770–$3,770
Washington381$3,890$3,881–$3,915
Minnesota181$3,905$3,905–$3,905
Rhode Island114$3,924$3,924–$3,924
New Hampshire111$3,950$3,950–$3,950
Oregon172$4,057$4,057–$4,057
Massachusetts3148$4,108$3,917–$4,055
New York8205$4,343$4,296–$4,400
New Jersey113$4,351$4,351–$4,351
California8394$4,934$4,743–$4,976

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.