Level 4 Extraocular, Repair, and Plastic Eye Procedures in Washington
What 11 hospitals in Washington charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$23,662
Hospital list price billed
Average allowed
$3,890
Medicare's payment + patient's share
Medicare paid
$3,097
Average per service
State rank
#28 of 34
1 = lowest average payment
Hospitals in Washington billed an average of $23,662 for level 4 extraocular, repair, and plastic eye procedures, about 6.1 times the average medicare-allowed amount of $3,890. That payment is 4% 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 $3,890Billed $23,662
About 16¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 4 extraocular, repair, and plastic eye procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Harborview Medical CenterSeattle | 52 | $24,811 | $3,880 | $3,092 |
| Providence Sacred Heart Medical CenterSpokane | 18 | $19,588 | $3,881 | $3,081 |
| Overlake Hospital Medical CenterBellevue | 11 | $24,899 | $3,949 | $3,146 |
| Virginia Mason Medical CenterSeattle | – | – | – | – |
| University of Washington Medical CtrSeattle | – | – | – | – |
| Swedish Medical CenterSeattle | – | – | – | – |
| Peacehealth St Joseph Medical CenterBellingham | – | – | – | – |
| S W Washington Medical CenterVancouver | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
| Evergreenhealth Medical CenterKirkland | – | – | – | – |
| Tacoma General HospitalTacoma | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Harborview Medical CenterSeattle, WA | $3,880 |
|---|---|
| Providence Sacred Heart Medical CenterSpokane, WA | $3,881 |
| Overlake Hospital Medical CenterBellevue, WA | $3,949 |
Highest
| Overlake Hospital Medical CenterBellevue, WA | $3,949 |
|---|---|
| Providence Sacred Heart Medical CenterSpokane, WA | $3,881 |
| Harborview Medical CenterSeattle, WA | $3,880 |
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 Washington?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 11 hospitals in Washington was billed at $23,662 on average, while the average medicare-allowed amount was $3,890, of which Medicare paid $3,097. 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 Washington, average charges were 6.1 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.