Level 4 Extraocular, Repair, and Plastic Eye Procedures in Rhode Island
What 1 hospital in Rhode Island charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$9,879
Hospital list price billed
Average allowed
$3,924
Medicare's payment + patient's share
Medicare paid
$3,126
Average per service
Volume
14
Medicare services
Hospitals in Rhode Island billed an average of $9,879 for level 4 extraocular, repair, and plastic eye procedures, about 2.5 times the average medicare-allowed amount of $3,924. That payment is 5% 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 $3,924Billed $9,879
About 40¢ was paid for every $1 hospitals in Rhode Island billed for this service.
Rhode Island hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Rhode Island hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Rhode Island HospitalProvidence | 14 | $9,879 | $3,924 | $3,126 |
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 Rhode Island?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 1 hospital in Rhode Island was billed at $9,879 on average, while the average medicare-allowed amount was $3,924, of which Medicare paid $3,126. 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 Rhode Island, average charges were 2.5 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.