facebook tracking Level 3 Extraocular, Repair, and Plastic Eye Procedures cost in New Jersey: 29 hospitals compared (APC 5503)

Level 3 Extraocular, Repair, and Plastic Eye Procedures in New Jersey

What 29 hospitals in New Jersey charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.

APC 5503 Outpatient 2024 Medicare data
Average charge $16,468 Hospital list price billed
Average allowed $2,579 Medicare's payment + patient's share
Medicare paid $2,051 Average per service
State rank #43 of 45 1 = lowest average payment

Hospitals in New Jersey billed an average of $16,468 for level 3 extraocular, repair, and plastic eye procedures, about 6.4 times the average medicare-allowed amount of $2,579. That payment is 15% 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 $2,579Billed $16,468

About 16¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 3 extraocular, repair, and plastic eye procedures

Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Jfk Medical CenterEdison 45 $20,980 $2,479 $1,971
Valley HospitalRidgewood 43 $13,437 $2,659 $2,116
Hackensack University Medical CenterHackensack 32 $11,384 $2,593 $2,052
Overlook HospitalSummit 27 $13,021 $2,630 $2,095
Umdnj University HospitalNewark 25 $14,481 $2,630 $2,095
Clara Maass Medical CenterBelleville 24 $10,133 $2,510 $2,000
Englewood Hospital and Medical CenterEnglewood 21 $29,180 $2,659 $2,119
Bayshore Community HospitalHolmdel 21 $22,083 $2,477 $1,974
St Mary's HospitalPassaic – – – –
Holy Name Medical CenterTeaneck – – – –
University Medical Center at PrincetonPrinceton – – – –
Cooper University HospitalCamden – – – –
Morristown Memorial HospitalMorristown – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Trinitas HospitalElizabeth – – – –
Riverview Medical CenterRed Bank – – – –
Robert Wood Johnson University HospitalNew Brunswick – – – –
Community Medical CenterToms River – – – –
Capital Health System-Mercer CampusTrenton – – – –
Somerset Medical CenterSomerville – – – –
Saint Clare's HospitalDenville – – – –
Saint Peter's University HospitalNew Brunswick – – – –
Jersey Shore University Medical CenterNeptune City – – – –
Jersey City Medical CenterJersey City – – – –
Monmouth Medical CenterLong Branch – – – –
Saint Barnabas Medical CenterLivingston – – – –
Monmouth Medical Center-Southern CampusLakewood – – – –
Jefferson Stratford HospitalCherry Hill – – – –
Saint Michael's Medical CenterNewark – – – –
Level 3 Extraocular, Repair, and Plastic Eye Procedures: all states All New Jersey hospitals New Jersey hospital finances
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Lowest and highest allowed amounts in New Jersey

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

Bayshore Community HospitalHolmdel, NJ$2,477
Jfk Medical CenterEdison, NJ$2,479
Clara Maass Medical CenterBelleville, NJ$2,510
Hackensack University Medical CenterHackensack, NJ$2,593
Overlook HospitalSummit, NJ$2,630

Highest

Valley HospitalRidgewood, NJ$2,659
Englewood Hospital and Medical CenterEnglewood, NJ$2,659
Overlook HospitalSummit, NJ$2,630
Umdnj University HospitalNewark, NJ$2,630
Hackensack University Medical CenterHackensack, NJ$2,593

Level 3 Extraocular, Repair, and Plastic Eye Procedures in other states

Alaska · $2,412 Connecticut · $2,574 Hawaii · $2,569 Massachusetts · $2,493 Nevada · $2,503 New York · $2,595 Oregon · $2,447 Rhode Island · $2,371

Questions

How much does level 3 extraocular, repair, and plastic eye procedures cost in New Jersey?

In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 29 hospitals in New Jersey was billed at $16,468 on average, while the average medicare-allowed amount was $2,579, of which Medicare paid $2,051. 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 New Jersey, average charges were 6.4 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.