Level 4 Extraocular, Repair, and Plastic Eye Procedures in North Dakota
What 2 hospitals in North Dakota charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$11,660
Hospital list price billed
Average allowed
$3,497
Medicare's payment + patient's share
Medicare paid
$2,751
Average per service
Volume
21
Medicare services
Hospitals in North Dakota billed an average of $11,660 for level 4 extraocular, repair, and plastic eye procedures, about 3.3 times the average medicare-allowed amount of $3,497. That payment is 6% 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 $3,497Billed $11,660
About 30¢ was paid for every $1 hospitals in North Dakota billed for this service.
North Dakota hospitals: level 4 extraocular, repair, and plastic eye procedures
Every North Dakota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Sanford Medical Center FargoFargo | 21 | $11,660 | $3,497 | $2,751 |
| Trinity HospitalsMinot | – | – | – | – |
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 Dakota?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 2 hospitals in North Dakota was billed at $11,660 on average, while the average medicare-allowed amount was $3,497, of which Medicare paid $2,751. 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 Dakota, average charges were 3.3 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.