facebook tracking Level 3 Extraocular, Repair, and Plastic Eye Procedures cost in Florida: 51 hospitals compared (APC 5503)

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

What 51 hospitals in Florida 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 $25,585 Hospital list price billed
Average allowed $2,000 Medicare's payment + patient's share
Medicare paid $1,589 Average per service
State rank #14 of 45 1 = lowest average payment

Hospitals in Florida billed an average of $25,585 for level 3 extraocular, repair, and plastic eye procedures, about 12.8 times the average medicare-allowed amount of $2,000. 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 $2,000Billed $25,585

About 8¢ was paid for every $1 hospitals in Florida billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Miami Hosp & ClinicsMiami 293 $23,919 $2,112 $1,680
Mayo ClinicJacksonville 83 $19,374 $2,056 $1,625
Shands Hospital at the University of FloridaGainesville 61 $16,674 $1,023 $812
Adventhealth OrlandoOrlando 34 $24,746 $2,117 $1,686
Highlands Regional Medical CenterSebring 25 $41,728 $2,117 $1,686
Sacred Heart HospitalPensacola 20 $24,894 $2,117 $1,686
Morton Plant HospitalClearwater 18 $22,102 $2,117 $1,686
Adventhealth Wesley ChapelWesley Chapel 18 $27,739 $2,117 $1,681
North Okaloosa Medical CenterCrestview 17 $48,791 $2,117 $1,686
Tallahassee Memorial HealthcareTallahassee 15 $23,295 $2,117 $1,674
Shands Jacksonville Medical CenterJacksonville 14 $29,262 $1,996 $1,566
St Joseph's HospitalTampa 14 $17,449 $2,117 $1,673
Tampa General HospitalTampa 14 $58,301 $2,117 $1,686
Memorial Hospital of TampaTampa 14 $58,000 $2,117 $1,686
Orlando Regional HealthcareOrlando – – – –
Baptist Hospital of Miami INCMiami – – – –
Lee Memorial HospitalFort Myers – – – –
Adventhealth New Smyrna BeachNew Smyrna Beach – – – –
Halifax Health Medical CenterDaytona Beach – – – –
Holmes Regional Medical CenterMelbourne – – – –
Parrish Medical CenterTitusville – – – –
Manatee Memorial HospitalBradenton – – – –
Memorial Regional HospitalHollywood – – – –
St Vincent's Medical CenterJacksonville – – – –
Twin Cities HospitalNiceville – – – –
Florida Hospital WatermanEustis – – – –
Adventhealth OcalaOcala – – – –
Adventhealth Daytona BeachDaytona Beach – – – –
Adventhealth Port CharlottePort Charlotte – – – –
Sarasota Memorial HospitalSarasota – – – –
Flagler HospitalSt Augustine – – – –
Baptist HospitalPensacola – – – –
Lake Wales Medical CenterLake Wales – – – –
Adventhealth SebringSebring – – – –
Osceola Regional Medical CenterKissimmee – – – –
Baptist Medical Center BeachesJacksonville Beach – – – –
Aventura Hospital & Med CenterMiami – – – –
Lower Keys Medical CenterKey West – – – –
Lakeland Regional Medical CenterLakeland – – – –
Coral Gables HospitalCoral Gables – – – –
Imperial Point Medical CenterFort Lauderdale – – – –
Gulf Coast Medical Center Lee HealthFort Myers – – – –
Fort Walton Beach Medical CenterFort Walton Beach – – – –
Brandon Regional HospitalBrandon – – – –
Capital Regional Medical CenterTallahassee – – – –
Regional Medical Center Bayonet PointHudson – – – –
West Boca Medical CenterBoca Raton – – – –
H Lee Moffitt Cancer CenterTampa – – – –
Good Samaritan Medical CenterWest Palm Beach – – – –
Lakewood Ranch Medical CenterBradenton – – – –
Sarasota Memorial Hospital - VeniceNorth Venice – – – –
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Lowest and highest allowed amounts in Florida

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

Shands Hospital at the University of FloridaGainesville, FL$1,023
Shands Jacksonville Medical CenterJacksonville, FL$1,996
Mayo ClinicJacksonville, FL$2,056
Univ of Miami Hosp & ClinicsMiami, FL$2,112
Adventhealth OrlandoOrlando, FL$2,117

Highest

St Joseph's HospitalTampa, FL$2,117
Tallahassee Memorial HealthcareTallahassee, FL$2,117
Adventhealth Wesley ChapelWesley Chapel, FL$2,117
Adventhealth OrlandoOrlando, FL$2,117
Sacred Heart HospitalPensacola, FL$2,117

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 Florida?

In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 51 hospitals in Florida was billed at $25,585 on average, while the average medicare-allowed amount was $2,000, of which Medicare paid $1,589. 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 Florida, average charges were 12.8 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.