Level 4 Extraocular, Repair, and Plastic Eye Procedures in Tennessee
What 9 hospitals in Tennessee charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$35,143
Hospital list price billed
Average allowed
$3,237
Medicare's payment + patient's share
Medicare paid
$2,572
Average per service
State rank
#8 of 34
1 = lowest average payment
Hospitals in Tennessee billed an average of $35,143 for level 4 extraocular, repair, and plastic eye procedures, about 10.9 times the average medicare-allowed amount of $3,237. That payment is 13% 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 $3,237Billed $35,143
About 9¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 33 | $43,063 | $3,231 | $2,574 |
| Centennial Medical CenterNashville | 25 | $34,778 | $3,225 | $2,548 |
| Methodist Healthcare-MemphisMemphis | 20 | $22,531 | $3,263 | $2,599 |
| Baptist Memorial HospitalMemphis | – | – | – | – |
| Johnson City Medical CenterJohnson City | – | – | – | – |
| Erlanger Medical CenterChattanooga | – | – | – | – |
| Fort Sanders Reg Medical CtrKnoxville | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| Vanderbilt Wilson County HospitalLebanon | – | – | – | – |
Lowest and highest allowed amounts in Tennessee
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
| Centennial Medical CenterNashville, TN | $3,225 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $3,231 |
| Methodist Healthcare-MemphisMemphis, TN | $3,263 |
Highest
| Methodist Healthcare-MemphisMemphis, TN | $3,263 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $3,231 |
| Centennial Medical CenterNashville, TN | $3,225 |
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 Tennessee?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 9 hospitals in Tennessee was billed at $35,143 on average, while the average medicare-allowed amount was $3,237, of which Medicare paid $2,572. 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 Tennessee, average charges were 10.9 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.