Other disorders of the eye without major complications
What 48 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other disorders of the eye without major complications (DRG 125), from 2024 Medicare claims.
Average charge
$46,123
Hospital list price billed
Average payment
$9,911
Medicare + patient + other payers
Medicare paid
$7,038
Average per stay
Volume
709
Medicare hospital stays
Hospitals in the U.S. billed an average of $46,123 for other disorders of the eye without major complications, about 4.7 times the average total payment of $9,911.
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 $9,911Billed $46,123
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Sarasota Memorial HospitalSarasota, FL | $6,393 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $7,112 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $10,375 |
| The Johns Hopkins HospitalBaltimore, MD | $15,420 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $15,420 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $10,375 |
| Adventhealth OrlandoOrlando, FL | $7,112 |
| Sarasota Memorial HospitalSarasota, FL | $6,393 |
Other disorders of the eye without major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| California | 1 | $71,041 | $19,548 | – |
| Connecticut | 1 | $36,178 | $13,154 | – |
| Delaware | 1 | $20,148 | $7,437 | – |
| Florida | 7 | $54,786 | $7,699 | $6,201 – $9,453 |
| Illinois | 1 | $39,593 | $7,707 | – |
| Indiana | 1 | $40,405 | $10,967 | – |
| Louisiana | 1 | $41,653 | $8,730 | – |
| Maryland | 2 | $17,913 | $16,048 | $15,420 – $17,111 |
| Massachusetts | 4 | $30,902 | $9,963 | $6,747 – $11,660 |
| Michigan | 1 | $29,564 | $7,605 | – |
| Missouri | 2 | $44,932 | $9,261 | $8,658 – $9,973 |
| Nevada | 1 | $25,534 | $8,110 | – |
| New Jersey | 1 | $59,168 | $7,153 | – |
| New York | 8 | $71,086 | $11,210 | $9,624 – $13,650 |
| North Carolina | 2 | $29,186 | $9,288 | $6,720 – $12,070 |
| Oklahoma | 1 | $42,808 | $11,051 | – |
| Pennsylvania | 4 | $44,390 | $9,200 | $7,240 – $10,375 |
| South Carolina | 1 | $27,822 | $10,589 | – |
| Tennessee | 2 | $37,306 | $11,725 | $11,642 – $11,829 |
| Texas | 4 | $50,503 | $8,239 | $6,732 – $10,535 |
| Washington | 1 | $39,735 | $10,452 | – |
| West Virginia | 1 | $25,781 | $8,880 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | 57 | $46,590 | $10,375 |
| Adventhealth OrlandoOrlando, FL | 29 | $60,994 | $7,112 |
| Sarasota Memorial HospitalSarasota, FL | 24 | $42,822 | $6,393 |
| The Johns Hopkins HospitalBaltimore, MD | 22 | $17,578 | $15,420 |
| Lehigh Valley HospitalAllentown, PA | 19 | $43,434 | $7,260 |
| Harborview Medical CenterSeattle, WA | 18 | $39,735 | $10,452 |
| North Shore University HospitalManhasset, NY | 17 | $67,628 | $10,088 |
| Tampa General HospitalTampa, FL | 16 | $50,289 | $9,404 |
| Montefiore Medical CenterBronx, NY | 16 | $78,840 | $12,945 |
| MUSC Medical CenterCharleston, SC | 16 | $27,822 | $10,589 |
| University HospitalStony Brook, NY | 15 | $67,568 | $10,938 |
| Methodist Hospital,TheHouston, TX | 15 | $77,780 | $10,535 |
| West Virginia University HospitalsMorgantown, WV | 15 | $25,781 | $8,880 |
| Orlando Regional HealthcareOrlando, FL | 14 | $77,764 | $9,343 |
| Shands Hospital at the University of FloridaGainesville, FL | 14 | $29,694 | $9,453 |
Questions
How much does other disorders of the eye without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other disorders of the eye without major complications (DRG 125) at 48 hospitals in the U.S. was billed at $46,123 on average, while the average total payment was $9,911, of which Medicare paid $7,038. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other disorders of the eye without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($11,210), Massachusetts ($9,963), Pennsylvania ($9,200) and lowest in Florida ($7,699), Texas ($8,239), Pennsylvania ($9,200).
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 stay in the U.S., average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.