facebook tracking Level 3 Extraocular, Repair, and Plastic Eye Procedures cost in Arkansas: 9 hospitals compared (APC 5503)

Level 3 Extraocular, Repair, and Plastic Eye Procedures in Arkansas

What 9 hospitals in Arkansas charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.

APC 5503 Outpatient 2024 Medicare data
Average charge $14,069 Hospital list price billed
Average allowed $1,993 Medicare's payment + patient's share
Medicare paid $1,582 Average per service
State rank #11 of 45 1 = lowest average payment

Hospitals in Arkansas billed an average of $14,069 for level 3 extraocular, repair, and plastic eye procedures, about 7.1 times the average medicare-allowed amount of $1,993. That payment is 11% 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 $1,993Billed $14,069

About 14¢ was paid for every $1 hospitals in Arkansas billed for this service.

Arkansas hospitals: level 3 extraocular, repair, and plastic eye procedures

Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Baptist Health Medical Center-Little RockLittle Rock 235 $14,811 $1,992 $1,581
University of Arkansas Medical SciencesLittle Rock 57 $6,115 $2,003 $1,588
Northwest Medical Center-SpringdaleSpringdale 22 $26,747 $1,971 $1,570
Baxter Regional Medical CenterMountain Home – – – –
Conway Regional Medical CenterConway – – – –
St Marys Regional Medical CenterRussellville – – – –
Drew Memorial HospitalMonticello – – – –
Mercy Hospital Fort SmithFort Smith – – – –
Nea Baptist Memorial HospitalJonesboro – – – –
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Lowest and highest allowed amounts in Arkansas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

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 Arkansas?

In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 9 hospitals in Arkansas was billed at $14,069 on average, while the average medicare-allowed amount was $1,993, of which Medicare paid $1,582. 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 Arkansas, average charges were 7.1 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.