Level 4 Extraocular, Repair, and Plastic Eye Procedures in Michigan
What 15 hospitals in Michigan charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$25,351
Hospital list price billed
Average allowed
$3,245
Medicare's payment + patient's share
Medicare paid
$2,575
Average per service
State rank
#9 of 34
1 = lowest average payment
Hospitals in Michigan billed an average of $25,351 for level 4 extraocular, repair, and plastic eye procedures, about 7.8 times the average medicare-allowed amount of $3,245. That payment is 13% 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 $3,245Billed $25,351
About 13¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Michigan 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 Michigan HospitalsAnn Arbor | 132 | $23,720 | $3,311 | $2,634 |
| St Mary Mercy HospitalLivonia | 19 | $28,111 | $2,868 | $2,285 |
| William Beaumont HospitalRoyal Oak | 19 | $33,924 | $3,163 | $2,459 |
| Lakeland Hospital, St JosephSt Joseph | – | – | – | – |
| Sinai-Grace HospitalDetroit | – | – | – | – |
| Spectrum Health - Butterworth CampusGrand Rapids | – | – | – | – |
| Henry Ford HospitalDetroit | – | – | – | – |
| Straith Hospital for Special SurgerySouthfield | – | – | – | – |
| Harper University HospitalDetroit | – | – | – | – |
| Trinity Health Ann Arbor HospitalAnn Arbor | – | – | – | – |
| McLaren Greater LansingLansing | – | – | – | – |
| Corewell Health Trenton HospitalTrenton | – | – | – | – |
| Henry Ford Health Warren HospitalWarren | – | – | – | – |
| William Beaumont Hospital-TroyTroy | – | – | – | – |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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
| St Mary Mercy HospitalLivonia, MI | $2,868 |
|---|---|
| William Beaumont HospitalRoyal Oak, MI | $3,163 |
| Univ of Michigan HospitalsAnn Arbor, MI | $3,311 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $3,311 |
|---|---|
| William Beaumont HospitalRoyal Oak, MI | $3,163 |
| St Mary Mercy HospitalLivonia, MI | $2,868 |
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 Michigan?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 15 hospitals in Michigan was billed at $25,351 on average, while the average medicare-allowed amount was $3,245, of which Medicare paid $2,575. 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 Michigan, average charges were 7.8 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.