Level 4 Extraocular, Repair, and Plastic Eye Procedures in Utah
What 7 hospitals in Utah charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$11,701
Hospital list price billed
Average allowed
$3,399
Medicare's payment + patient's share
Medicare paid
$2,691
Average per service
State rank
#14 of 34
1 = lowest average payment
Hospitals in Utah billed an average of $11,701 for level 4 extraocular, repair, and plastic eye procedures, about 3.4 times the average medicare-allowed amount of $3,399. 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 $3,399Billed $11,701
About 29¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 49 | $10,598 | $3,351 | $2,644 |
| Utah Valley Regional Medical CenterProvo | 23 | $14,793 | $3,464 | $2,760 |
| Lds HospitalSalt Lake City | 13 | $10,388 | $3,464 | $2,745 |
| Salt Lake Regional Medical CenterSalt Lake City | – | – | – | – |
| McKay-Dee Hospital CenterOgden | – | – | – | – |
| Alta View HospitalSandy | – | – | – | – |
| St Marks HospitalSalt Lake City | – | – | – | – |
Lowest and highest allowed amounts in Utah
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
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $3,351 |
|---|---|
| Utah Valley Regional Medical CenterProvo, UT | $3,464 |
| Lds HospitalSalt Lake City, UT | $3,464 |
Highest
| Lds HospitalSalt Lake City, UT | $3,464 |
|---|---|
| Utah Valley Regional Medical CenterProvo, UT | $3,464 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $3,351 |
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 Utah?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 7 hospitals in Utah was billed at $11,701 on average, while the average medicare-allowed amount was $3,399, of which Medicare paid $2,691. 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 Utah, average charges were 3.4 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.