facebook tracking Level 3 Extraocular, Repair, and Plastic Eye Procedures cost in Illinois: 59 hospitals compared (APC 5503)

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

What 59 hospitals in Illinois 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 $18,177 Hospital list price billed
Average allowed $2,211 Medicare's payment + patient's share
Medicare paid $1,757 Average per service
State rank #30 of 45 1 = lowest average payment

Hospitals in Illinois billed an average of $18,177 for level 3 extraocular, repair, and plastic eye procedures, about 8.2 times the average medicare-allowed amount of $2,211. That payment is 1% 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 $2,211Billed $18,177

About 12¢ was paid for every $1 hospitals in Illinois billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Illinois Hospital and ClinicsChicago 136 $14,333 $2,246 $1,784
Evanston HospitalEvanston 104 $15,095 $2,178 $1,735
Northwestern Memorial HospitalChicago 103 $25,073 $2,255 $1,791
Central Dupage HospitalWinfield 76 $24,236 $2,172 $1,720
The University of Chicago Medical CenterChicago 46 $27,553 $2,273 $1,811
Lake Forest HospitalLake Forest 43 $18,382 $2,205 $1,757
Proctor HospitalPeoria 42 $25,034 $2,119 $1,680
Memorial Medical CenterSpringfield 41 $10,486 $2,160 $1,717
Rush University Medical CenterChicago 36 $18,458 $2,273 $1,811
Loyola University Medical CenterMaywood 33 $13,417 $2,273 $1,811
Advocate Christ Hospital & Medical CenterOak Lawn 19 $13,762 $2,219 $1,766
Advocate Condell Medical CenterLibertyville 17 $9,697 $2,205 $1,757
St Johns HospitalSpringfield 15 $15,032 $2,160 $1,721
Advocate Illinois Masonic Medical CenterChicago 15 $10,123 $2,101 $1,650
Delnor Community HospitalGeneva 15 $16,665 $2,162 $1,672
Swedish Covenant HospitalChicago 13 $14,438 $2,219 $1,768
Javon Bea HospitalRockford 12 $18,755 $2,160 $1,721
Thorek Memorial HospitalChicago 11 $6,055 $2,219 $1,756
Alton Memorial HospitalAlton – – – –
Provena St Joseph Medical CenterJoliet – – – –
Loyola Gottlieb Memorial HospitalMelrose Park – – – –
Blessing HospitalQuincy – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
Copley Memorial HospitalAurora – – – –
Sherman HospitalElgin – – – –
Cgh Medical CenterSterling – – – –
Advocate Trinity HospitalChicago – – – –
Macneal HospitalBerwyn – – – –
Palos Community HospitalPalos Heights – – – –
Rush Oak Park HospitalOak Park – – – –
Adventist la Grange Memorial HospitalLa Grange – – – –
Saint Francis Medical CenterPeoria – – – –
Rhc St Francis HospitalEvanston – – – –
Mc Donough District HospitalMacomb – – – –
Carle Foundation HospitalUrbana – – – –
OSF Sacred Heart Medical CenterDanville – – – –
OSF Heart of Mary Medical CenterUrbana – – – –
Northwestern Medicine McHenryMcHenry – – – –
Hinsdale HospitalHinsdale – – – –
John H Stroger Jr HospitalChicago – – – –
Decatur Memorial HospitalDecatur – – – –
Memorial Hospital of CarbondaleCarbondale – – – –
Provena Mercy Medical CenterAurora – – – –
Heartland Regional Medical CenterMarion – – – –
Sarah Bush Lincoln Health CenterMattoon – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Harrisburg Medical CenterHarrisburg – – – –
Silver Cross HospitalJoliet – – – –
Advocate Lutheran General HospitalPark Ridge – – – –
Northwest Community HospitalArlington Heights – – – –
Trinity Rock IslandRock Island – – – –
Kishwaukee Community HospitalDekalb – – – –
St Alexius Medical CenterSchaumburg – – – –
Advocate Good Shepherd HospitalBarrington – – – –
Adventist GlenoaksGlendale Heights – – – –
Provident Hospital of ChicagoChicago – – – –
Holy Family Medical CenterDes Plaines – – – –
Children's Memorial HospitalChicago – – – –
Level 3 Extraocular, Repair, and Plastic Eye Procedures: all states All Illinois hospitals Illinois hospital finances
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Lowest and highest allowed amounts in Illinois

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

Advocate Illinois Masonic Medical CenterChicago, IL$2,101
Proctor HospitalPeoria, IL$2,119
St Johns HospitalSpringfield, IL$2,160
Javon Bea HospitalRockford, IL$2,160
Memorial Medical CenterSpringfield, IL$2,160

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

Arizona · $2,142 Colorado · $2,220 Maine · $2,149 Minnesota · $2,267 Montana · $2,191 North Dakota · $2,296 Pennsylvania · $2,154 Wisconsin · $2,170

Questions

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

In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 59 hospitals in Illinois was billed at $18,177 on average, while the average medicare-allowed amount was $2,211, of which Medicare paid $1,757. 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 Illinois, average charges were 8.2 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.