Level 4 Extraocular, Repair, and Plastic Eye Procedures in Ohio
What 17 hospitals in Ohio charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$29,078
Hospital list price billed
Average allowed
$3,342
Medicare's payment + patient's share
Medicare paid
$2,654
Average per service
State rank
#12 of 34
1 = lowest average payment
Hospitals in Ohio billed an average of $29,078 for level 4 extraocular, repair, and plastic eye procedures, about 8.7 times the average medicare-allowed amount of $3,342. That payment is 11% 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 $3,342Billed $29,078
About 11¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland | 32 | $18,770 | $3,218 | $2,548 |
| Ohio State University HospitalsColumbus | 21 | $32,878 | $3,470 | $2,765 |
| Arthur G James Cancer HospitalColumbus | 11 | $51,807 | $3,457 | $2,755 |
| University Hospital, INCCincinnati | – | – | – | – |
| Riverside Methodist HospitalColumbus | – | – | – | – |
| Grant Medical CenterColumbus | – | – | – | – |
| Miami Valley HospitalDayton | – | – | – | – |
| Metrohealth SystemCleveland | – | – | – | – |
| Toledo Hospital theToledo | – | – | – | – |
| Mercy Medical CenterCanton | – | – | – | – |
| Good Samaritan HospitalCincinnati | – | – | – | – |
| University Hospitals of ClevelandCleveland | – | – | – | – |
| Christ HospitalCincinnati | – | – | – | – |
| Bethesda North HospitalCincinnati | – | – | – | – |
| Mercy Franciscan Hospital - Mt AiryCincinnati | – | – | – | – |
| West Chester Medical CenterWest Chester | – | – | – | – |
| Cleveland Clinic Avon HospitalAvon | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Cleveland Clinic - Main CampusCleveland, OH | $3,218 |
|---|---|
| Arthur G James Cancer HospitalColumbus, OH | $3,457 |
| Ohio State University HospitalsColumbus, OH | $3,470 |
Highest
| Ohio State University HospitalsColumbus, OH | $3,470 |
|---|---|
| Arthur G James Cancer HospitalColumbus, OH | $3,457 |
| Cleveland Clinic - Main CampusCleveland, OH | $3,218 |
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 Ohio?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 17 hospitals in Ohio was billed at $29,078 on average, while the average medicare-allowed amount was $3,342, of which Medicare paid $2,654. 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 Ohio, average charges were 8.7 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.