Level 4 Extraocular, Repair, and Plastic Eye Procedures in Minnesota
What 13 hospitals in Minnesota charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$23,161
Hospital list price billed
Average allowed
$3,905
Medicare's payment + patient's share
Medicare paid
$3,095
Average per service
State rank
#29 of 34
1 = lowest average payment
Hospitals in Minnesota billed an average of $23,161 for level 4 extraocular, repair, and plastic eye procedures, about 5.9 times the average medicare-allowed amount of $3,905. That payment is 4% above 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 $3,905Billed $23,161
About 17¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 81 | $23,161 | $3,905 | $3,095 |
| North Memorial Medical CenterRobbinsdale | – | – | – | – |
| Fairview Red Wing HospitalRed Wing | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Lake Region Healthcare CorporationFergus Falls | – | – | – | – |
| Park Nicollet Methodist HospitalSaint Louis Park | – | – | – | – |
| Abbott Northwestern Hospital INCMinneapolis | – | – | – | – |
| Buffalo HospitalBuffalo | – | – | – | – |
| Fairview Southdale HospitalEdina | – | – | – | – |
| University of Minnesota Medical Center, FairviewMinneapolis | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| Regions HospitalSt Paul | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
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 Minnesota?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 13 hospitals in Minnesota was billed at $23,161 on average, while the average medicare-allowed amount was $3,905, of which Medicare paid $3,095. 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 Minnesota, average charges were 5.9 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.