Level 4 Extraocular, Repair, and Plastic Eye Procedures in Georgia
What 24 hospitals in Georgia charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$24,523
Hospital list price billed
Average allowed
$3,405
Medicare's payment + patient's share
Medicare paid
$2,709
Average per service
State rank
#15 of 34
1 = lowest average payment
Hospitals in Georgia billed an average of $24,523 for level 4 extraocular, repair, and plastic eye procedures, about 7.2 times the average medicare-allowed amount of $3,405. That payment is 9% 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 $3,405Billed $24,523
About 14¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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 Georgia?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 24 hospitals in Georgia was billed at $24,523 on average, while the average medicare-allowed amount was $3,405, of which Medicare paid $2,709. 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 Georgia, average charges were 7.2 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.