facebook tracking Level 3 Extraocular, Repair, and Plastic Eye Procedures cost in California: 123 hospitals compared (APC 5503)

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

What 123 hospitals in California 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 $23,669 Hospital list price billed
Average allowed $2,975 Medicare's payment + patient's share
Medicare paid $2,365 Average per service
State rank #45 of 45 1 = lowest average payment

Hospitals in California billed an average of $23,669 for level 3 extraocular, repair, and plastic eye procedures, about 8.0 times the average medicare-allowed amount of $2,975. That payment is 33% above 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 $2,975Billed $23,669

About 13¢ was paid for every $1 hospitals in California billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
UCI Health-OrangeOrange 466 $14,196 $2,863 $2,277
University of California San Diego Medical CenterSan Diego 398 $17,118 $2,866 $2,280
Stanford HospitalPalo Alto 321 $53,589 $3,250 $2,587
UCLA Medical CenterLos Angeles 289 $13,659 $2,849 $2,265
University of California Davis Medical CenterSacramento 214 $22,882 $2,891 $2,298
UCSF Medical CenterSan Francisco 207 $30,139 $3,265 $2,595
USC University HospitalLos Angeles 118 $17,004 $2,834 $2,244
Fresno Surgical HospitalFresno 65 $10,435 $2,873 $2,269
Peninsula Medical CenterBurlingame 60 $17,071 $3,340 $2,661
Santa Rosa Memorial HospitalSanta Rosa 51 $45,645 $3,273 $2,608
Loma Linda University Medical CenterLoma Linda 50 $38,111 $2,873 $2,289
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 40 $21,443 $3,340 $2,652
Los Angeles General Medical CenterLos Angeles 30 $17,856 $2,873 $2,283
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 28 $21,616 $3,245 $2,582
St Jude Medical CenterFullerton 27 $14,713 $2,873 $2,287
San Francisco General HospitalSan Francisco 25 $26,475 $3,273 $2,607
El Centro Regional Medical CenterEl Centro 24 $10,933 $2,873 $2,289
Community Memorial Hospital - VenturaVentura 24 $23,894 $2,873 $2,281
Mercy General HospitalSacramento 23 $12,477 $2,984 $2,378
Sharp Memorial HospitalSan Diego 23 $28,730 $2,773 $2,190
San Ramon Regional Medical CtrSan Ramon 23 $26,007 $3,254 $2,588
Grossmont HospitalLa Mesa 22 $21,530 $2,873 $2,289
Stanford Health Care Tri-ValleyPleasanton 22 $34,231 $3,291 $2,622
Saint Agnes Medical CenterFresno 20 $19,194 $2,873 $2,289
El Camino HospitalMountain View 20 $33,710 $3,291 $2,622
Woodland Memorial HospitalWoodland 16 $9,597 $2,687 $2,081
Mercy Medical Center ReddingRedding 16 $22,053 $2,874 $2,253
Lac/Harbor-UCLA Med CenterTorrance 16 $13,904 $2,873 $2,289
Doctors Hospital of MantecaManteca 15 $50,893 $1,409 $1,122
Scripps Green HospitalLa Jolla 14 $45,987 $2,873 $2,289
Oroville HospitalOroville 13 $8,345 $2,873 $2,282
Enloe Medical CenterChico 13 $30,230 $2,873 $2,289
Mercy HospitalBakersfield 13 $23,549 $2,873 $2,289
Queen of the Valley Medical CenterNapa 11 $27,021 $3,273 $2,601
Riverside County Regional Medical CenterMoreno Valley 11 $14,474 $2,351 $1,830
Ukiah Valley Medical Center/Hospital DUkiah 11 $11,329 $3,077 $2,452
Santa Barbara Cottage HospitalSanta Barbara 11 $19,545 $3,077 $2,452
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 11 $21,013 $3,122 $2,488
St Joseph HospitalEureka – – – –
California Pacific Medical Ctr-Davies Campus HospSan Francisco – – – –
Sutter Amador HospitalJackson – – – –
Mad River Community HospitalArcata – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
Community Regional Medical CenterFresno – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
Kaiser Foundation HospitalSanta Clara – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Scripps Mercy HospitalSan Diego – – – –
St Johns Regional Medical CenterOxnard – – – –
Sonoma Valley HospitalSonoma – – – –
San Antonio Community HospitalUpland – – – –
Sutter Solano Medical CenterVallejo – – – –
White Memorial Medical CenterLos Angeles – – – –
Marian Medical CenterSanta Maria – – – –
Sutter General HospitalSacramento – – – –
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica – – – –
San Mateo Medical CenterSan Mateo – – – –
Regional Medical Center of San JoseSan Jose – – – –
Novato Community HospitalNovato – – – –
Petaluma Valley HospitalPetaluma – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
Community Hospital of the Monterey PeninsulaMonterey – – – –
California Hospital Medical Center laLos Angeles – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
Ventura County Medical CenterVentura – – – –
PIH Health Hospital-WhittierWhittier – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Hoag Memorial Hospital PresbyterianNewport Beach – – – –
Pomona Valley Hospital Medical CenterPomona – – – –
French Hospital Medical CenterSan Luis Obispo – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Dominican HospitalSanta Cruz – – – –
Arrowhead Regional Medical CenterColton – – – –
Sierra View District HospitalPorterville – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Saint John's Health CenterSanta Monica – – – –
Highland HospitalOakland – – – –
Scripps Memorial Hospital la JollaLa Jolla – – – –
Salinas Valley Memorial HospitalSalinas – – – –
Torrance Memorial Medical CenterTorrance – – – –
Providence Little Company of Mary Med Ctr TorranceTorrance – – – –
Marinhealth Medical CenterGreenbrae – – – –
Good Samaritan HospitalSan Jose – – – –
Downey Regional Medical CenterDowney – – – –
Chinese HospitalSan Francisco – – – –
Sutter Coast HospitalCrescent City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
Good Samaritan HospitalLos Angeles – – – –
Long Beach Memorial Medical CenterLong Beach – – – –
Eden Medical CenterCastro Valley – – – –
John Muir Medical Center - Concord CampusConcord – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Sutter Davis HospitalDavis – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Los Robles Hospital & Medical CenterThousand Oaks – – – –
Los Alamitos Medical CenterLos Alamitos – – – –
Memorial Medical CenterModesto – – – –
Eisenhower Memorial HospitalRancho Mirage – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital AnaheimAnaheim – – – –
Henry Mayo Newhall Memorial HospitalValencia – – – –
Cedars-Sinai Medical CenterLos Angeles – – – –
Palomar Medical Center PowayPoway – – – –
East los Angeles Doctors HospitalLos Angeles – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Orange Coast Memorial Medical CenterFountain Valley – – – –
Patients' Hospital of ReddingRedding – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Stanislaus Surgical HospitalModesto – – – –
Centinela Hospital Medical CenterInglewood – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Providence Tarzana Medical CenterTarzana – – – –
Sutter Surgical Hospital - North ValleyYuba City – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Coast Plaza HospitalNorwalk – – – –
Anaheim Community Hospital, LLCAnaheim – – – –
Kaiser Foundation Hospital - San MarcosSan Marcos – – – –
Children's Hospital OaklandOakland – – – –
Level 3 Extraocular, Repair, and Plastic Eye Procedures: all states All California hospitals California hospital finances
Advertisement

Lowest and highest allowed amounts in California

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

Doctors Hospital of MantecaManteca, CA$1,409
Riverside County Regional Medical CenterMoreno Valley, CA$2,351
Woodland Memorial HospitalWoodland, CA$2,687
Sharp Memorial HospitalSan Diego, CA$2,773
USC University HospitalLos Angeles, CA$2,834

Highest

California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$3,340
Peninsula Medical CenterBurlingame, CA$3,340
Stanford Health Care Tri-ValleyPleasanton, CA$3,291
El Camino HospitalMountain View, CA$3,291
San Francisco General HospitalSan Francisco, CA$3,273

Level 3 Extraocular, Repair, and Plastic Eye Procedures in other states

Alaska · $2,412 Connecticut · $2,574 Hawaii · $2,569 Massachusetts · $2,493 Nevada · $2,503 New Jersey · $2,579 New York · $2,595 Oregon · $2,447

Questions

How much does level 3 extraocular, repair, and plastic eye procedures cost in California?

In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 123 hospitals in California was billed at $23,669 on average, while the average medicare-allowed amount was $2,975, of which Medicare paid $2,365. 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 California, average charges were 8.0 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.