Level 4 Extraocular, Repair, and Plastic Eye Procedures in Missouri
What 12 hospitals in Missouri charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$22,021
Hospital list price billed
Average allowed
$2,868
Medicare's payment + patient's share
Medicare paid
$2,262
Average per service
State rank
#1 of 34
1 = lowest average payment
Hospitals in Missouri billed an average of $22,021 for level 4 extraocular, repair, and plastic eye procedures, about 7.7 times the average medicare-allowed amount of $2,868. That payment is 23% 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 $2,868Billed $22,021
About 13¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 51 | $23,385 | $3,280 | $2,580 |
| Barnes-Jewish West County HospitalSt Louis | 21 | $18,709 | $1,868 | $1,488 |
| St John's Mercy Medical CenterSt Louis | – | – | – | – |
| Lester E Cox Medical CentersSpringfield | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Mercy Hospital SpringfieldSpringfield | – | – | – | – |
| Boone Hospital CenterColumbia | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| St Louis University HospitalSt Louis | – | – | – | – |
| Missouri Baptist Medical CenterTown and Country | – | – | – | – |
| St Lukes Hospital of Kansas CityKansas City | – | – | – | – |
| University Hospitals & ClinicsColumbia | – | – | – | – |
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 Missouri?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 12 hospitals in Missouri was billed at $22,021 on average, while the average medicare-allowed amount was $2,868, of which Medicare paid $2,262. 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 Missouri, average charges were 7.7 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.