Level 3 Extraocular, Repair, and Plastic Eye Procedures in Minnesota
What 28 hospitals in Minnesota charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$12,760
Hospital list price billed
Average allowed
$2,267
Medicare's payment + patient's share
Medicare paid
$1,801
Average per service
State rank
#32 of 45
1 = lowest average payment
Hospitals in Minnesota billed an average of $12,760 for level 3 extraocular, repair, and plastic eye procedures, about 5.6 times the average medicare-allowed amount of $2,267. That payment is 1% 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 $2,267Billed $12,760
About 18¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 406 | $13,500 | $2,301 | $1,828 |
| Park Nicollet Methodist HospitalSaint Louis Park | 51 | $12,532 | $2,199 | $1,743 |
| Fairview Southdale HospitalEdina | 35 | $12,173 | $2,234 | $1,774 |
| University of Minnesota Medical Center, FairviewMinneapolis | 35 | $13,678 | $2,097 | $1,651 |
| Hennepin County Medical CenterMinneapolis | 29 | $21,958 | $2,234 | $1,780 |
| Olmsted Medical CenterRochester | 29 | $14,349 | $2,248 | $1,790 |
| St Lukes HospitalDuluth | 26 | $5,457 | $2,166 | $1,726 |
| Sanford Bemidji Medical CenterBemidji | 23 | $3,820 | $2,330 | $1,856 |
| Regions HospitalSt Paul | 20 | $7,715 | $2,234 | $1,780 |
| Abbott Northwestern Hospital INCMinneapolis | 16 | $9,597 | $2,234 | $1,780 |
| Lake Region Healthcare CorporationFergus Falls | 12 | $7,215 | $2,330 | $1,851 |
| North Memorial Medical CenterRobbinsdale | – | – | – | – |
| Essentia Health St Mary's Medical CenterDuluth | – | – | – | – |
| Fairview Red Wing HospitalRed Wing | – | – | – | – |
| Essentia Health DuluthDuluth | – | – | – | – |
| Cambridge Medical CenterCambridge | – | – | – | – |
| St Cloud HospitalSt Cloud | – | – | – | – |
| United HospitalSt Paul | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | – | – | – | – |
| Winona Health ServicesWinona | – | – | – | – |
| Fairview Lakes Health ServicesWyoming | – | – | – | – |
| Lakeview Memorial HospitalStillwater | – | – | – | – |
| Owatonna HospitalOwatonna | – | – | – | – |
| Buffalo HospitalBuffalo | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Mercy HospitalCoon Rapids | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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 Minnesota Medical Center, FairviewMinneapolis, MN | $2,097 |
|---|---|
| St Lukes HospitalDuluth, MN | $2,166 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $2,199 |
| Hennepin County Medical CenterMinneapolis, MN | $2,234 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $2,234 |
Highest
| Lake Region Healthcare CorporationFergus Falls, MN | $2,330 |
|---|---|
| Sanford Bemidji Medical CenterBemidji, MN | $2,330 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $2,301 |
| Olmsted Medical CenterRochester, MN | $2,248 |
| Fairview Southdale HospitalEdina, MN | $2,234 |
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 Minnesota?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 28 hospitals in Minnesota was billed at $12,760 on average, while the average medicare-allowed amount was $2,267, of which Medicare paid $1,801. 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 Minnesota, average charges were 5.6 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.