Level 3 Extraocular, Repair, and Plastic Eye Procedures in New Mexico
What 4 hospitals in New Mexico charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$22,980
Hospital list price billed
Average allowed
$2,008
Medicare's payment + patient's share
Medicare paid
$1,591
Average per service
State rank
#16 of 45
1 = lowest average payment
Hospitals in New Mexico billed an average of $22,980 for level 3 extraocular, repair, and plastic eye procedures, about 11.4 times the average medicare-allowed amount of $2,008. That payment is 10% 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 $2,008Billed $22,980
About 9¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 3 extraocular, repair, and plastic eye procedures
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lovelace Medical CenterAlbuquerque | 93 | $29,217 | $2,051 | $1,627 |
| UNM HospitalAlbuquerque | 38 | $7,716 | $1,905 | $1,504 |
| Roswell Regional HospitalRoswell | – | – | – | – |
| Three Crosses Regional Hospital LLCLas Cruces | – | – | – | – |
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 New Mexico?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 4 hospitals in New Mexico was billed at $22,980 on average, while the average medicare-allowed amount was $2,008, of which Medicare paid $1,591. 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 Mexico, average charges were 11.4 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.