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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

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.

Location
Illinois
Specific hospitals up to 10
Average payment across these 4 hospitals
$3,642National $3,737 · Illinois $3,642
Median hospital
$3,651
Lowest to highest
$3,408–$3,760
Medicare procedures
93

4 hospitals reported at least 11 Medicare procedures for this in 2024. 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
The University Of Chicago Medical CenterChicago, IL · CCN 14008817$3,408About average$2,644$45,134
Northwestern Memorial HospitalChicago, IL · CCN 14028123$3,630About average$2,858$53,410
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 14024223$3,671About average$2,925$25,256
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015030$3,760About average$2,996$26,155

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.