Level 4 Extraocular, Repair, and Plastic Eye Procedures in California
What 60 hospitals in California charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$42,165
Hospital list price billed
Average allowed
$4,934
Medicare's payment + patient's share
Medicare paid
$3,926
Average per service
State rank
#34 of 34
1 = lowest average payment
Hospitals in California billed an average of $42,165 for level 4 extraocular, repair, and plastic eye procedures, about 8.5 times the average medicare-allowed amount of $4,934. That payment is 32% above the U.S. average of $3,737.
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 $4,934Billed $42,165
About 12¢ was paid for every $1 hospitals in California billed for this service.
California hospitals: level 4 extraocular, repair, and plastic eye procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in California
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
| UCLA Medical CenterLos Angeles, CA | $4,692 |
|---|---|
| UCI Health-OrangeOrange, CA | $4,712 |
| USC University HospitalLos Angeles, CA | $4,754 |
| University of California San Diego Medical CenterSan Diego, CA | $4,754 |
| Loma Linda University Medical CenterLoma Linda, CA | $4,754 |
Highest
| Stanford HospitalPalo Alto, CA | $5,445 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $5,444 |
| University of California Davis Medical CenterSacramento, CA | $4,819 |
| Loma Linda University Medical CenterLoma Linda, CA | $4,754 |
| University of California San Diego Medical CenterSan Diego, CA | $4,754 |
Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 4 extraocular, repair, and plastic eye procedures cost in California?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 60 hospitals in California was billed at $42,165 on average, while the average medicare-allowed amount was $4,934, of which Medicare paid $3,926. 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 California, average charges were 8.5 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.