Level 3 Extraocular, Repair, and Plastic Eye Procedures in Connecticut
What 12 hospitals in Connecticut charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$11,327
Hospital list price billed
Average allowed
$2,574
Medicare's payment + patient's share
Medicare paid
$2,047
Average per service
State rank
#42 of 45
1 = lowest average payment
Hospitals in Connecticut billed an average of $11,327 for level 3 extraocular, repair, and plastic eye procedures, about 4.4 times the average medicare-allowed amount of $2,574. That payment is 15% 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 $2,574Billed $11,327
About 23¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hartford HospitalHartford | 58 | $6,914 | $2,571 | $2,040 |
| Bridgeport HospitalBridgeport | 53 | $12,899 | $2,632 | $2,097 |
| Yale-New Haven HospitalNew Haven | 36 | $11,010 | $2,630 | $2,090 |
| Saint Marys HospitalWaterbury | 35 | $17,230 | $2,607 | $2,077 |
| John Dempsey HospitalFarmington | 28 | $11,085 | $2,607 | $2,077 |
| Greenwich Hospital AssociationGreenwich | 14 | $10,201 | $2,068 | $1,648 |
| Stamford HospitalStamford | – | – | – | – |
| Lawrence & Memorial HospitalNew London | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Middlesex HospitalMiddletown | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
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
| Greenwich Hospital AssociationGreenwich, CT | $2,068 |
|---|---|
| Hartford HospitalHartford, CT | $2,571 |
| Saint Marys HospitalWaterbury, CT | $2,607 |
| John Dempsey HospitalFarmington, CT | $2,607 |
| Yale-New Haven HospitalNew Haven, CT | $2,630 |
Highest
| Bridgeport HospitalBridgeport, CT | $2,632 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $2,630 |
| Saint Marys HospitalWaterbury, CT | $2,607 |
| John Dempsey HospitalFarmington, CT | $2,607 |
| Hartford HospitalHartford, CT | $2,571 |
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 Connecticut?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 12 hospitals in Connecticut was billed at $11,327 on average, while the average medicare-allowed amount was $2,574, of which Medicare paid $2,047. 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 Connecticut, average charges were 4.4 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.