Level 3 Extraocular, Repair, and Plastic Eye Procedures in Georgia
What 42 hospitals in Georgia charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$19,382
Hospital list price billed
Average allowed
$1,891
Medicare's payment + patient's share
Medicare paid
$1,504
Average per service
State rank
#6 of 45
1 = lowest average payment
Hospitals in Georgia billed an average of $19,382 for level 3 extraocular, repair, and plastic eye procedures, about 10.3 times the average medicare-allowed amount of $1,891. That payment is 16% 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 $1,891Billed $19,382
About 10¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Georgia
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
| Piedmont HospitalAtlanta, GA | $1,189 |
|---|---|
| Candler HospitalSavannah, GA | $1,975 |
| Sgmc HealthValdosta, GA | $1,975 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $1,978 |
| Northside HospitalAtlanta, GA | $2,140 |
Highest
| Northside Hospital ForsythCumming, GA | $2,169 |
|---|---|
| Emory University HospitalAtlanta, GA | $2,169 |
| Tanner Medical Center Villa RicaVilla Rica, GA | $2,169 |
| Wellstar Douglas HospitalDouglasville, GA | $2,169 |
| Northside HospitalAtlanta, GA | $2,140 |
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 Georgia?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 42 hospitals in Georgia was billed at $19,382 on average, while the average medicare-allowed amount was $1,891, of which Medicare paid $1,504. 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 Georgia, average charges were 10.3 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.