facebook tracking Level 4 Extraocular, Repair, and Plastic Eye Procedures cost in Illinois: 21 hospitals compared (APC 5504)

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

What 21 hospitals in Illinois 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 $36,142 Hospital list price billed
Average allowed $3,642 Medicare's payment + patient's share
Medicare paid $2,880 Average per service
State rank #24 of 34 1 = lowest average payment

Hospitals in Illinois billed an average of $36,142 for level 4 extraocular, repair, and plastic eye procedures, about 9.9 times the average medicare-allowed amount of $3,642. That payment is 3% 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 $3,642Billed $36,142

About 10¢ was paid for every $1 hospitals in Illinois billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Illinois Hospital and ClinicsChicago 30 $26,155 $3,760 $2,996
Central Dupage HospitalWinfield 23 $25,256 $3,671 $2,925
Northwestern Memorial HospitalChicago 23 $53,410 $3,630 $2,858
The University of Chicago Medical CenterChicago 17 $45,134 $3,408 $2,644
Evanston HospitalEvanston – – – –
Blessing HospitalQuincy – – – –
St Johns HospitalSpringfield – – – –
Saint Francis Medical CenterPeoria – – – –
Rhc St Francis HospitalEvanston – – – –
Rush University Medical CenterChicago – – – –
Decatur Memorial HospitalDecatur – – – –
Memorial Medical CenterSpringfield – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Harrisburg Medical CenterHarrisburg – – – –
Delnor Community HospitalGeneva – – – –
Advocate Lutheran General HospitalPark Ridge – – – –
Loyola University Medical CenterMaywood – – – –
Advocate Good Samaritan HospitalDowners Grove – – – –
St Alexius Medical CenterSchaumburg – – – –
Level 4 Extraocular, Repair, and Plastic Eye Procedures: all states All Illinois hospitals Illinois hospital finances
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Lowest and highest allowed amounts in Illinois

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states

Arizona · $3,770 Colorado · $3,681 Florida · $3,484 Iowa · $3,451 North Dakota · $3,497 Pennsylvania · $3,669 Texas · $3,485 Wisconsin · $3,475

Questions

How much does level 4 extraocular, repair, and plastic eye procedures cost in Illinois?

In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 21 hospitals in Illinois was billed at $36,142 on average, while the average medicare-allowed amount was $3,642, of which Medicare paid $2,880. 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 Illinois, average charges were 9.9 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.