Level 4 Extraocular, Repair, and Plastic Eye Procedures — what U.S. hospitals charge
APC 5504 · Hospital outpatient visit · 98 U.S. hospitals publish a price
Cheapest quarter
under $17,924
Typical charge
$23,476
Dearest quarter
over $32,839
Actually paid
$3,645
The middle U.S. hospital bills $23,476 for Level 4 Extraocular, Repair, and Plastic Eye Procedures. The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $3,645 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 4 Extraocular, Repair, and Plastic Eye Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Utah | 3 | $10,598 | $10,388 – $14,793 |
| Massachusetts | 3 | $12,597 | $11,049 – $17,886 |
| North Carolina | 4 | $16,479 | $9,012 – $25,736 |
| Kentucky | 3 | $16,793 | $16,385 – $20,187 |
| Virginia | 3 | $20,412 | $10,153 – $31,202 |
| Indiana | 3 | $21,447 | $16,110 – $21,789 |
| New York | 8 | $22,532 | $11,638 – $33,904 |
| Texas | 12 | $24,790 | $15,565 – $70,276 |
| Washington | 3 | $24,811 | $19,588 – $24,899 |
| South Carolina | 3 | $26,059 | $15,902 – $34,015 |
| Michigan | 3 | $28,111 | $23,720 – $33,924 |
| Ohio | 3 | $32,878 | $18,770 – $51,807 |
| Tennessee | 3 | $34,778 | $22,531 – $43,063 |
| Illinois | 4 | $35,644 | $25,256 – $53,410 |
| California | 8 | $36,124 | $18,732 – $88,624 |
| Pennsylvania | 5 | $44,102 | $17,510 – $53,742 |
| Florida | 4 | $50,523 | $27,447 – $84,941 |
Where Level 4 Extraocular, Repair, and Plastic Eye Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Novant Health Presbyterian Medical Center
Charlotte, NC |
$9,012 | $3,105 |
|
Rhode Island Hospital
Providence, RI |
$9,879 | $3,924 |
|
Inova Fairfax Hospital
Falls Church, VA |
$10,153 | $3,626 |
|
Intermountain Medical Center
Murray, UT |
$10,388 | $3,464 |
|
University Of Utah Hospital And Clinics
Salt Lake City, UT |
$10,598 | $3,351 |
|
Tufts Medical Center
Boston, MA |
$11,049 | $3,958 |
|
Uab Callahan Eye Hospital Authority
Birmingham, AL |
$11,554 | $3,095 |
|
Suny/Downstate University Hospital Of Brooklyn
Brooklyn, NY |
$11,638 | $4,400 |
|
Sanford Medical Center Fargo
Fargo, ND |
$11,660 | $3,497 |
|
Albany Medical Center Hospital
Albany, NY |
$12,160 | $4,099 |
|
Massachusetts Eye And Ear Infirmary -
Boston, MA |
$12,597 | $4,152 |
|
Unc Hospitals
Chapel Hill, NC |
$12,677 | $3,365 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$88,624 | $5,445 |
|
Tampa General Hospital
Tampa, FL |
$84,941 | $3,502 |
|
Memorial Hermann - Texas Medical Center
Houston, TX |
$70,276 | $3,585 |
|
Loma Linda University Medical Center
Loma Linda, CA |
$63,738 | $4,754 |
|
Hca Florida South Tampa Hospital
Tampa, FL |
$62,435 | $3,502 |
|
Ucsf Medical Center
San Francisco, CA |
$57,633 | $5,444 |
|
Geisinger Medical Center
Danville, PA |
$53,742 | $3,453 |
|
Northwestern Memorial Hospital
Chicago, IL |
$53,410 | $3,630 |
|
James Cancer Hospital & Solove Research Institute
Columbus, OH |
$51,807 | $3,457 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$50,077 | $3,453 |
|
Honorhealth Scottsdale Osborn Medical Center
Scottsdale, AZ |
$47,176 | $3,770 |
|
Houston Methodist Hospital
Houston, TX |
$45,232 | $3,585 |
Questions people ask
What do U.S. hospitals charge for Level 4 Extraocular, Repair, and Plastic Eye Procedures?
Across 98 U.S. hospitals, the middle charge for Level 4 Extraocular, Repair, and Plastic Eye Procedures is $23,476. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $17,924 and the dearest quarter over $32,839.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 4 Extraocular, Repair, and Plastic Eye Procedures, the hospitals in the dearest tenth charge about 3.9x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $3,645 is roughly what Medicare actually paid per case, against an average charge of $27,173. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5504: “Level 4 Extraocular, Repair, and Plastic Eye Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.