Level 3 Extraocular, Repair, and Plastic Eye Procedures in Missouri
What 26 hospitals in Missouri charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$13,807
Hospital list price billed
Average allowed
$1,767
Medicare's payment + patient's share
Medicare paid
$1,406
Average per service
State rank
#3 of 45
1 = lowest average payment
Hospitals in Missouri billed an average of $13,807 for level 3 extraocular, repair, and plastic eye procedures, about 7.8 times the average medicare-allowed amount of $1,767. That payment is 21% 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 $1,767Billed $13,807
About 13¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 extraocular, repair, and plastic eye procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Missouri
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
| Barnes-Jewish West County HospitalSt Louis, MO | $854 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $1,954 |
| Lester E Cox Medical CentersSpringfield, MO | $1,965 |
| University Hospitals & ClinicsColumbia, MO | $1,988 |
| Truman Medical Center Hospital HillKansas City, MO | $2,033 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $2,080 |
|---|---|
| St Louis University HospitalSt Louis, MO | $2,043 |
| St Joseph Medical CenterKansas City, MO | $2,041 |
| Truman Medical Center Hospital HillKansas City, MO | $2,033 |
| University Hospitals & ClinicsColumbia, MO | $1,988 |
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 Missouri?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 26 hospitals in Missouri was billed at $13,807 on average, while the average medicare-allowed amount was $1,767, of which Medicare paid $1,406. 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 Missouri, 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.