Level 3 Extraocular, Repair, and Plastic Eye Procedures in Kentucky
What 17 hospitals in Kentucky charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$14,783
Hospital list price billed
Average allowed
$2,004
Medicare's payment + patient's share
Medicare paid
$1,588
Average per service
State rank
#15 of 45
1 = lowest average payment
Hospitals in Kentucky billed an average of $14,783 for level 3 extraocular, repair, and plastic eye procedures, about 7.4 times the average medicare-allowed amount of $2,004. 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 $2,004Billed $14,783
About 14¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Jewish HospitalLouisville | 196 | $16,035 | $1,992 | $1,581 |
| University of Kentucky HospLexington | 105 | $13,177 | $1,964 | $1,543 |
| St Elizabeth Med Center-SouthEdgewood | 97 | $13,081 | $2,011 | $1,599 |
| Pikeville Medical CenterPikeville | 35 | $12,326 | $2,122 | $1,691 |
| Owensboro Medical Health SystemOwensboro | 21 | $16,646 | $2,080 | $1,641 |
| Hardin Memorial HospitalElizabethtown | 18 | $22,309 | $2,013 | $1,594 |
| St Elizabeth Ft ThomasFort Thomas | – | – | – | – |
| Meadowview Regional Medical CenterMaysville | – | – | – | – |
| Murray-Calloway County HospitalMurray | – | – | – | – |
| Ephraim McDowell Regional Medical CenterDanville | – | – | – | – |
| Baptist Health RichmondRichmond | – | – | – | – |
| Jennie Stuart Medical CenterHopkinsville | – | – | – | – |
| Norton Healthcare PavilionLouisville | – | – | – | – |
| Western Baptist HospitalPaducah | – | – | – | – |
| Jackson Purchase Medical CenterMayfield | – | – | – | – |
| Baptist Hospital EastLouisville | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| University of Kentucky HospLexington, KY | $1,964 |
|---|---|
| Jewish HospitalLouisville, KY | $1,992 |
| St Elizabeth Med Center-SouthEdgewood, KY | $2,011 |
| Hardin Memorial HospitalElizabethtown, KY | $2,013 |
| Owensboro Medical Health SystemOwensboro, KY | $2,080 |
Highest
| Pikeville Medical CenterPikeville, KY | $2,122 |
|---|---|
| Owensboro Medical Health SystemOwensboro, KY | $2,080 |
| Hardin Memorial HospitalElizabethtown, KY | $2,013 |
| St Elizabeth Med Center-SouthEdgewood, KY | $2,011 |
| Jewish HospitalLouisville, KY | $1,992 |
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 Kentucky?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 17 hospitals in Kentucky was billed at $14,783 on average, while the average medicare-allowed amount was $2,004, of which Medicare paid $1,588. 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 Kentucky, average charges were 7.4 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.