Extraocular procedures except orbit
What 3 hospitals in the U.S. charged and were paid for a Medicare hospital stay for extraocular procedures except orbit (DRG 115), from 2024 Medicare claims.
Average charge
$57,417
Hospital list price billed
Average payment
$29,831
Medicare + patient + other payers
Medicare paid
$20,200
Average per stay
Volume
45
Medicare hospital stays
Hospitals in the U.S. billed an average of $57,417 for extraocular procedures except orbit, about 1.9 times the average total payment of $29,831.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Extraocular procedures except orbit cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 1 | $45,207 | $32,996 | – |
| Maryland | 1 | $45,506 | $40,121 | – |
| Pennsylvania | 1 | $77,299 | $19,170 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | 17 | $77,299 | $19,170 |
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | 15 | $45,207 | $32,996 |
| The Johns Hopkins HospitalBaltimore, MD | 13 | $45,506 | $40,121 |
Questions
How much does extraocular procedures except orbit cost in the U.S.?
In 2024 Medicare data, a hospital stay for extraocular procedures except orbit (DRG 115) at 3 hospitals in the U.S. was billed at $57,417 on average, while the average total payment was $29,831, of which Medicare paid $20,200. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 1.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.