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

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

What 4 hospitals in Montana 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 – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Billings Clinic HospitalBillings – – – –
Benefis Hospitals INCGreat Falls – – – –
St Patrick Hospital and Health Sciences CenterMissoula – – – –
Logan Health Medical CenterKalispell – – – –
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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 Montana?

In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 4 hospitals in Montana was billed at – on average, while the average medicare-allowed amount was –. 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. 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.