Level 3 Extraocular, Repair, and Plastic Eye Procedures in Massachusetts
What 28 hospitals in Massachusetts charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$7,304
Hospital list price billed
Average allowed
$2,493
Medicare's payment + patient's share
Medicare paid
$1,981
Average per service
State rank
#39 of 45
1 = lowest average payment
Hospitals in Massachusetts billed an average of $7,304 for level 3 extraocular, repair, and plastic eye procedures, about 2.9 times the average medicare-allowed amount of $2,493. That payment is 11% 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 $2,493Billed $7,304
About 34¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston | 711 | $7,558 | $2,499 | $1,987 |
| Lahey Clinic HospitalBurlington | 136 | $4,230 | $2,510 | $2,000 |
| Tufts Medical CenterBoston | 106 | $6,845 | $2,472 | $1,962 |
| South Shore HospitalSouth Weymouth | 37 | $4,694 | $2,510 | $1,996 |
| Emerson HospitalConcord | 30 | $6,466 | $2,510 | $2,000 |
| Boston Medical Center CorporationBoston | 26 | $11,072 | $2,433 | $1,923 |
| Healthalliance Hospitals, INCLeominster | 24 | $12,534 | $2,260 | $1,750 |
| Umass Memorial Medical Center INCWorcester | 18 | $17,243 | $2,510 | $2,000 |
| Beth Israel Deaconess Medical CenterBoston | 17 | $6,957 | $2,510 | $1,995 |
| Holyoke Medical CenterHolyoke | 16 | $9,824 | $2,510 | $2,000 |
| Baystate Medical CenterSpringfield | 16 | $7,059 | $2,510 | $2,000 |
| Beverly Hospital CorporationBeverly | 11 | $5,007 | $2,510 | $1,998 |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Baystate Franklin Medical CenterGreenfield | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Massachusetts General HospitalBoston | – | – | – | – |
| Southcoast Hospital Group, INCFall River | – | – | – | – |
| Newton-Wellesley HospitalNewton Lower Falls | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Milton HospitalMilton | – | – | – | – |
| Brigham and Women's HosptialBoston | – | – | – | – |
| St Vincent HospitalWorcester | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Healthalliance Hospitals, INCLeominster, MA | $2,260 |
|---|---|
| Boston Medical Center CorporationBoston, MA | $2,433 |
| Tufts Medical CenterBoston, MA | $2,472 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | $2,499 |
| Holyoke Medical CenterHolyoke, MA | $2,510 |
Highest
| Beth Israel Deaconess Medical CenterBoston, MA | $2,510 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $2,510 |
| Beverly Hospital CorporationBeverly, MA | $2,510 |
| Holyoke Medical CenterHolyoke, MA | $2,510 |
| Baystate Medical CenterSpringfield, MA | $2,510 |
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 Massachusetts?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 28 hospitals in Massachusetts was billed at $7,304 on average, while the average medicare-allowed amount was $2,493, of which Medicare paid $1,981. 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 Massachusetts, average charges were 2.9 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.