Extraocular procedures except orbit in Pennsylvania
What 1 hospital in Pennsylvania charged and were paid for a Medicare hospital stay for extraocular procedures except orbit (DRG 115), from 2024 Medicare claims.
Average charge
$77,299
Hospital list price billed
Average payment
$19,170
Medicare + patient + other payers
Medicare paid
$12,723
Average per stay
Volume
17
Medicare hospital stays
Hospitals in Pennsylvania billed an average of $77,299 for extraocular procedures except orbit, about 4.0 times the average total payment of $19,170. That payment is 36% below the U.S. average 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.
Paid $19,170Billed $77,299
About 25¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: extraocular procedures except orbit
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 17 | $77,299 | $19,170 | $12,723 |
Extraocular procedures except orbit in other states
Questions
How much does extraocular procedures except orbit cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for extraocular procedures except orbit (DRG 115) at 1 hospital in Pennsylvania was billed at $77,299 on average, while the average total payment was $19,170, of which Medicare paid $12,723. 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 Pennsylvania, average charges were 4.0 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.