Level 4 Extraocular, Repair, and Plastic Eye Procedures in New Jersey
What 14 hospitals in New Jersey charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$22,631
Hospital list price billed
Average allowed
$4,351
Medicare's payment + patient's share
Medicare paid
$3,467
Average per service
State rank
#33 of 34
1 = lowest average payment
Hospitals in New Jersey billed an average of $22,631 for level 4 extraocular, repair, and plastic eye procedures, about 5.2 times the average medicare-allowed amount of $4,351. That payment is 16% 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 $4,351Billed $22,631
About 19¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 4 extraocular, repair, and plastic eye procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Umdnj University HospitalNewark | 13 | $22,631 | $4,351 | $3,467 |
| Hackensack University Medical CenterHackensack | – | – | – | – |
| Clara Maass Medical CenterBelleville | – | – | – | – |
| University Medical Center at PrincetonPrinceton | – | – | – | – |
| Valley HospitalRidgewood | – | – | – | – |
| Cooper University HospitalCamden | – | – | – | – |
| Morristown Memorial HospitalMorristown | – | – | – | – |
| Robert Wood Johnson University HospitalNew Brunswick | – | – | – | – |
| Capital Health System-Mercer CampusTrenton | – | – | – | – |
| Overlook HospitalSummit | – | – | – | – |
| Jersey Shore University Medical CenterNeptune City | – | – | – | – |
| Saint Barnabas Medical CenterLivingston | – | – | – | – |
| Jfk Medical CenterEdison | – | – | – | – |
| Bayshore Community HospitalHolmdel | – | – | – | – |
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 New Jersey?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 14 hospitals in New Jersey was billed at $22,631 on average, while the average medicare-allowed amount was $4,351, of which Medicare paid $3,467. 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 New Jersey, average charges were 5.2 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.