facebook tracking Level 4 Extraocular, Repair, and Plastic Eye Procedures cost in Florida: 25 hospitals compared (APC 5504)

Level 4 Extraocular, Repair, and Plastic Eye Procedures in Florida

What 25 hospitals in Florida charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.

APC 5504 Outpatient 2024 Medicare data
Average charge $43,842 Hospital list price billed
Average allowed $3,484 Medicare's payment + patient's share
Medicare paid $2,772 Average per service
State rank #22 of 34 1 = lowest average payment

Hospitals in Florida billed an average of $43,842 for level 4 extraocular, repair, and plastic eye procedures, about 12.6 times the average medicare-allowed amount of $3,484. That payment is 7% below 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 $3,484Billed $43,842

About 8¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 4 extraocular, repair, and plastic eye procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Miami Hosp & ClinicsMiami 105 $38,611 $3,476 $2,764
Memorial Hospital of TampaTampa 18 $62,435 $3,502 $2,788
Mayo ClinicJacksonville 17 $27,447 $3,502 $2,790
Tampa General HospitalTampa 12 $84,941 $3,502 $2,790
Shands Jacksonville Medical CenterJacksonville – – – –
Adventhealth OrlandoOrlando – – – –
Lee Memorial HospitalFort Myers – – – –
Jackson Health SystemMiami – – – –
Sacred Heart HospitalPensacola – – – –
Memorial Regional HospitalHollywood – – – –
St Vincent's Medical CenterJacksonville – – – –
St Joseph's HospitalTampa – – – –
Sarasota Memorial HospitalSarasota – – – –
Flagler HospitalSt Augustine – – – –
Osceola Regional Medical CenterKissimmee – – – –
Shands Hospital at the University of FloridaGainesville – – – –
North Okaloosa Medical CenterCrestview – – – –
Morton Plant HospitalClearwater – – – –
Tallahassee Memorial HealthcareTallahassee – – – –
Gulf Coast Medical Center Lee HealthFort Myers – – – –
West Boca Medical CenterBoca Raton – – – –
H Lee Moffitt Cancer CenterTampa – – – –
St Mary's Medical CenterWest Palm Beach – – – –
Cleveland Clinic HospitalWeston – – – –
Adventhealth Wesley ChapelWesley Chapel – – – –
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Lowest and highest allowed amounts in Florida

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

Univ of Miami Hosp & ClinicsMiami, FL$3,476
Tampa General HospitalTampa, FL$3,502
Mayo ClinicJacksonville, FL$3,502
Memorial Hospital of TampaTampa, FL$3,502

Highest

Memorial Hospital of TampaTampa, FL$3,502
Tampa General HospitalTampa, FL$3,502
Mayo ClinicJacksonville, FL$3,502
Univ of Miami Hosp & ClinicsMiami, FL$3,476

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 Florida?

In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 25 hospitals in Florida was billed at $43,842 on average, while the average medicare-allowed amount was $3,484, of which Medicare paid $2,772. 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 Florida, average charges were 12.6 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.