Level 3 Extraocular, Repair, and Plastic Eye Procedures in Michigan
What 37 hospitals in Michigan charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$15,622
Hospital list price billed
Average allowed
$1,999
Medicare's payment + patient's share
Medicare paid
$1,589
Average per service
State rank
#13 of 45
1 = lowest average payment
Hospitals in Michigan billed an average of $15,622 for level 3 extraocular, repair, and plastic eye procedures, about 7.8 times the average medicare-allowed amount of $1,999. 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 $1,999Billed $15,622
About 13¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Michigan
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
| St Mary Mercy HospitalLivonia, MI | $1,391 |
|---|---|
| Henry Ford HospitalDetroit, MI | $1,844 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $1,971 |
| Henry Ford Health Warren HospitalWarren, MI | $2,036 |
| Memorial HealthcareOwosso, MI | $2,046 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $2,156 |
|---|---|
| Harper University HospitalDetroit, MI | $2,087 |
| William Beaumont Hospital-TroyTroy, MI | $2,083 |
| William Beaumont HospitalRoyal Oak, MI | $2,083 |
| Corewell Health Trenton HospitalTrenton, MI | $2,056 |
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 Michigan?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 37 hospitals in Michigan was billed at $15,622 on average, while the average medicare-allowed amount was $1,999, 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 Michigan, average charges were 7.8 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.