Level 4 Extraocular, Repair, and Plastic Eye Procedures in North Carolina
What 20 hospitals in North Carolina charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$21,114
Hospital list price billed
Average allowed
$3,407
Medicare's payment + patient's share
Medicare paid
$2,700
Average per service
State rank
#16 of 34
1 = lowest average payment
Hospitals in North Carolina billed an average of $21,114 for level 4 extraocular, repair, and plastic eye procedures, about 6.2 times the average medicare-allowed amount of $3,407. That payment is 9% 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 $3,407Billed $21,114
About 16¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 4 extraocular, repair, and plastic eye procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 73 | $25,736 | $3,487 | $2,779 |
| UNC HospitalsChapel Hill | 17 | $12,677 | $3,365 | $2,647 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 15 | $20,282 | $3,365 | $2,681 |
| Presbyterian HospitalCharlotte | 15 | $9,012 | $3,105 | $2,399 |
| Wayne Memorial HospitalGoldsboro | – | – | – | – |
| Margaret R Pardee Mem HospitalHendersonville | – | – | – | – |
| Iredell Memorial Hospital INCStatesville | – | – | – | – |
| North Carolina Baptist HospitalWinston-Salem | – | – | – | – |
| North Carolina Eye & Ear HospDurham | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Moses H Cone Memorial Hospital, theGreensboro | – | – | – | – |
| Carolinas Medical Center/Behav HealthCharlotte | – | – | – | – |
| Rex HospitalRaleigh | – | – | – | – |
| Carolinas Medical Center-UnionMonroe | – | – | – | – |
| New Hanover Regional Medical CenterWilmington | – | – | – | – |
| Catawba Valley Medical CenterHickory | – | – | – | – |
| Haywood Regional Medical CenterClyde | – | – | – | – |
| Davie Medical CenterBermuda Run | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Presbyterian HospitalCharlotte, NC | $3,105 |
|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $3,365 |
| UNC HospitalsChapel Hill, NC | $3,365 |
| Duke University Medical CenterDurham, NC | $3,487 |
Highest
| Duke University Medical CenterDurham, NC | $3,487 |
|---|---|
| UNC HospitalsChapel Hill, NC | $3,365 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $3,365 |
| Presbyterian HospitalCharlotte, NC | $3,105 |
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 North Carolina?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 20 hospitals in North Carolina was billed at $21,114 on average, while the average medicare-allowed amount was $3,407, of which Medicare paid $2,700. 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 North Carolina, average charges were 6.2 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.