Level 3 Extraocular, Repair, and Plastic Eye Procedures in West Virginia
What 14 hospitals in West Virginia charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$15,004
Hospital list price billed
Average allowed
$1,934
Medicare's payment + patient's share
Medicare paid
$1,533
Average per service
State rank
#8 of 45
1 = lowest average payment
Hospitals in West Virginia billed an average of $15,004 for level 3 extraocular, repair, and plastic eye procedures, about 7.8 times the average medicare-allowed amount of $1,934. That payment is 14% 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 $1,934Billed $15,004
About 13¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 3 extraocular, repair, and plastic eye procedures
Every West Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 180 | $11,404 | $1,946 | $1,547 |
| Mon Health Medical CenterMorgantown | 128 | $25,150 | $1,919 | $1,517 |
| Reynolds Memorial HospitalGlen Dale | 36 | $8,098 | $1,909 | $1,521 |
| United Hospital CenterBridgeport | 28 | $8,147 | $1,913 | $1,500 |
| Camc Charleston Surgical HospitalCharleston | 20 | $4,510 | $1,981 | $1,578 |
| Greenbrier Valley Medical CenterRonceverte | – | – | – | – |
| Charleston Area Medical CenterCharleston | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
| Davis Memorial HospitalElkins | – | – | – | – |
| Saint Francis HospitalCharleston | – | – | – | – |
| Stonewall Jackson Mem HospWeston | – | – | – | – |
| Wheeling HospitalWheeling | – | – | – | – |
| Cabell-Huntington Hospital INCHuntington | – | – | – | – |
| Camden Clark Memorial HospitalParkersburg | – | – | – | – |
Lowest and highest allowed amounts in West Virginia
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
| Reynolds Memorial HospitalGlen Dale, WV | $1,909 |
|---|---|
| United Hospital CenterBridgeport, WV | $1,913 |
| Mon Health Medical CenterMorgantown, WV | $1,919 |
| West Virginia University HospitalsMorgantown, WV | $1,946 |
| Camc Charleston Surgical HospitalCharleston, WV | $1,981 |
Highest
| Camc Charleston Surgical HospitalCharleston, WV | $1,981 |
|---|---|
| West Virginia University HospitalsMorgantown, WV | $1,946 |
| Mon Health Medical CenterMorgantown, WV | $1,919 |
| United Hospital CenterBridgeport, WV | $1,913 |
| Reynolds Memorial HospitalGlen Dale, WV | $1,909 |
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 West Virginia?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 14 hospitals in West Virginia was billed at $15,004 on average, while the average medicare-allowed amount was $1,934, of which Medicare paid $1,533. 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 West Virginia, 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.