Level 4 Extraocular, Repair, and Plastic Eye Procedures in Iowa
What 7 hospitals in Iowa charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$23,567
Hospital list price billed
Average allowed
$3,451
Medicare's payment + patient's share
Medicare paid
$2,749
Average per service
State rank
#20 of 34
1 = lowest average payment
Hospitals in Iowa billed an average of $23,567 for level 4 extraocular, repair, and plastic eye procedures, about 6.8 times the average medicare-allowed amount of $3,451. That payment is 8% 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 $3,451Billed $23,567
About 15¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Iowa 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 Iowa Hospital & ClinicsIowa City | 42 | $23,567 | $3,451 | $2,749 |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| St Lukes HospitalCedar Rapids | – | – | – | – |
| Jennie Edmundson HospitalCouncil Bluffs | – | – | – | – |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Mercy Medical Center - Cedar RapidsCedar Rapids | – | – | – | – |
| Iowa Methodist Medical CenterDes Moines | – | – | – | – |
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 Iowa?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 7 hospitals in Iowa was billed at $23,567 on average, while the average medicare-allowed amount was $3,451, of which Medicare paid $2,749. 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 Iowa, average charges were 6.8 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.