facebook tracking Level 4 Extraocular, Repair, and Plastic Eye Procedures cost in New York: 28 hospitals compared (APC 5504)

Level 4 Extraocular, Repair, and Plastic Eye Procedures in New York

What 28 hospitals in New York 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 $25,373 Hospital list price billed
Average allowed $4,343 Medicare's payment + patient's share
Medicare paid $3,457 Average per service
State rank #32 of 34 1 = lowest average payment

Hospitals in New York billed an average of $25,373 for level 4 extraocular, repair, and plastic eye procedures, about 5.8 times the average medicare-allowed amount of $4,343. 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 $4,343Billed $25,373

About 17¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 4 extraocular, repair, and plastic eye procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
New York-Presbyterian HospitalNew York 64 $33,904 $4,400 $3,505
Ny Eye and Ear InfirmaryNew York 33 $18,039 $4,400 $3,505
NYU Hospitals CenterNew York 28 $31,507 $4,231 $3,346
Mem Sloan-Kettering Cancer CtrNew York 18 $24,007 $4,400 $3,505
University HospitalStony Brook 18 $27,672 $4,318 $3,441
University Hospital of Brooklyn ( Downstate )Brooklyn 17 $11,638 $4,400 $3,505
Albany Medical Center HospitalAlbany 16 $12,160 $4,099 $3,266
North Shore University HospitalManhasset 11 $21,056 $4,351 $3,467
Buffalo General HospitalBuffalo – – – –
New York Community Hospital of Brooklyn, INC.Brooklyn – – – –
Mount Sinai HospitalNew York – – – –
Nassau University Medical CenterEast Meadow – – – –
Montefiore Medical CenterBronx – – – –
Lenox Hill HospitalNew York – – – –
Garnet Health Medical CenterGoshen – – – –
Samaritan HospitalTroy – – – –
Flushing Hospital Medical CenterNew York – – – –
Long Island Jewish Medical CenterNew Hyde Park – – – –
Crouse HospitalSyracuse – – – –
Bellevue Hospital CenterNew York – – – –
St John's Riverside HospitalYonkers – – – –
Westchester Medical CenterValhalla – – – –
University Hospital S U N Y Health Science CenterSyracuse – – – –
Mercy Medical CenterRockville Centre – – – –
Hudson Valley Hospital CenterCortlandt Manor – – – –
Strong Memorial HospitalRochester – – – –
Good Samaritan Hospital Medical CenterWest Islip – – – –
White Plains Hospital CtrWhite Plains – – – –
Level 4 Extraocular, Repair, and Plastic Eye Procedures: all states All New York hospitals New York hospital finances
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Lowest and highest allowed amounts in New York

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

Albany Medical Center HospitalAlbany, NY$4,099
NYU Hospitals CenterNew York, NY$4,231
University HospitalStony Brook, NY$4,318
North Shore University HospitalManhasset, NY$4,351
Ny Eye and Ear InfirmaryNew York, NY$4,400

Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states

Arizona · $3,770 Massachusetts · $4,108 Minnesota · $3,905 New Hampshire · $3,950 New Jersey · $4,351 Oregon · $4,057 Rhode Island · $3,924 Washington · $3,890

Questions

How much does level 4 extraocular, repair, and plastic eye procedures cost in New York?

In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 28 hospitals in New York was billed at $25,373 on average, while the average medicare-allowed amount was $4,343, of which Medicare paid $3,457. 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 York, average charges were 5.8 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.