Level 3 Extraocular, Repair, and Plastic Eye Procedures in Arizona
What 14 hospitals in Arizona charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$17,511
Hospital list price billed
Average allowed
$2,142
Medicare's payment + patient's share
Medicare paid
$1,702
Average per service
State rank
#25 of 45
1 = lowest average payment
Hospitals in Arizona billed an average of $17,511 for level 3 extraocular, repair, and plastic eye procedures, about 8.2 times the average medicare-allowed amount of $2,142. That payment is 4% below the U.S. average of $2,242.
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 $2,142Billed $17,511
About 12¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 45 | $18,704 | $2,076 | $1,654 |
| Phoenix Children's HospitalPhoenix | 22 | $11,905 | $2,196 | $1,733 |
| Banner-University Medical Center South CampusTucson | 13 | $22,872 | $2,279 | $1,816 |
| Banner - University Medical Center PhoenixPhoenix | – | – | – | – |
| Yuma Regional Medical CenterYuma | – | – | – | – |
| Valleywise Health Medical CenterPhoenix | – | – | – | – |
| St Joseph's Hospital and Medical CenterPhoenix | – | – | – | – |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | – | – | – | – |
| University Medical CenterTucson | – | – | – | – |
| Banner Desert Medical CenterMesa | – | – | – | – |
| Northwest Medical CenterTucson | – | – | – | – |
| Arrowhead HospitalGlendale | – | – | – | – |
| Valley View Medical CenterFort Mohave | – | – | – | – |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | – | – | – | – |
Lowest and highest allowed amounts in Arizona
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mayo Clinic HospitalPhoenix, AZ | $2,076 |
|---|---|
| Phoenix Children's HospitalPhoenix, AZ | $2,196 |
| Banner-University Medical Center South CampusTucson, AZ | $2,279 |
Highest
| Banner-University Medical Center South CampusTucson, AZ | $2,279 |
|---|---|
| Phoenix Children's HospitalPhoenix, AZ | $2,196 |
| Mayo Clinic HospitalPhoenix, AZ | $2,076 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 3 extraocular, repair, and plastic eye procedures cost in Arizona?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 14 hospitals in Arizona was billed at $17,511 on average, while the average medicare-allowed amount was $2,142, of which Medicare paid $1,702. 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 service in Arizona, average charges were 8.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.