Outpatient / APC 5503
APC 5503 · 366 hospitals · 24,069 services
Level 3 Extraocular, Repair, and Plastic Eye Procedures
Hospital outpatient departments billed Medicare for 24,069 services in APC 5503 in 2024. They charged an average of $16,538; Medicare allowed $2,242 — a ratio of 7.4 to 1 — and paid $1,780 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $3,049 to $62,612 across hospitals.
- 1Average charge $16,538
- 2Medicare allowed $2,242
- 3Reporting hospitals 366
- 4Services 24,069
By state
The average charge for this service was highest in Nevada ($31,143) and lowest in Montana ($6,583). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 63 | $31,143 | $2,519 |
| Florida | 740 | $27,880 | $2,016 |
| Oklahoma | 416 | $27,556 | $1,995 |
| California | 3,016 | $23,862 | $2,975 |
| District of Columbia | 62 | $23,057 | $2,330 |
| New Mexico | 140 | $22,708 | $2,010 |
| Arizona | 109 | $22,588 | $2,182 |
| Alaska | 15 | $22,043 | $2,446 |
| Tennessee | 238 | $21,735 | $1,937 |
| Georgia | 544 | $20,525 | $1,929 |
| Louisiana | 289 | $20,060 | $1,965 |
| South Carolina | 500 | $19,773 | $1,666 |
| New Hampshire | 111 | $18,661 | $2,341 |
| Illinois | 902 | $18,248 | $2,208 |
| Pennsylvania | 1,216 | $17,951 | $2,160 |
| New York | 1,656 | $17,783 | $2,594 |
| Texas | 1,241 | $17,776 | $2,075 |
| Colorado | 403 | $17,200 | $2,218 |
| Hawaii | 23 | $17,096 | $2,595 |
| New Jersey | 298 | $17,017 | $2,563 |
| Michigan | 714 | $15,332 | $2,007 |
| West Virginia | 424 | $15,053 | $1,938 |
| Kentucky | 505 | $15,051 | $2,003 |
| Washington | 391 | $15,000 | $2,367 |
| Indiana | 631 | $14,501 | $2,112 |
| Arkansas | 339 | $13,917 | $1,997 |
| Missouri | 673 | $13,866 | $1,794 |
| Maine | 86 | $13,786 | $2,113 |
| North Carolina | 1,045 | $13,631 | $2,108 |
| Virginia | 494 | $13,390 | $2,114 |
| Kansas | 149 | $13,298 | $1,898 |
| Ohio | 842 | $13,200 | $1,812 |
| Iowa | 459 | $12,662 | $2,062 |
| Wisconsin | 823 | $12,583 | $2,171 |
| Minnesota | 745 | $12,404 | $2,266 |
| Mississippi | 158 | $12,266 | $1,694 |
| Oregon | 376 | $11,713 | $2,449 |
| Connecticut | 243 | $11,414 | $2,578 |
| South Dakota | 24 | $10,638 | $2,187 |
| Alabama | 575 | $9,377 | $1,926 |
| Idaho | 85 | $9,375 | $2,083 |
| Nebraska | 298 | $9,173 | $2,053 |
| Vermont | 102 | $8,285 | $1,201 |
| Utah | 479 | $8,117 | $2,036 |
| Massachusetts | 1,204 | $7,591 | $2,492 |
| Rhode Island | 44 | $7,437 | $2,371 |
| North Dakota | 102 | $7,217 | $2,288 |
| Montana | 67 | $6,583 | $2,202 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Memorial Hermann Texas Medical Center Houston, TX | $62,612 | $2,167 |
| Tampa General Hospital Tampa, FL | $58,301 | $2,117 |
| HCA Florida South Tampa Hospital Tampa, FL | $58,000 | $2,117 |
| East Jefferson General Hospital Metairie, LA | $56,423 | $1,979 |
| HCA Houston Healthcare Kingwood Kingwood, TX | $55,761 | $2,167 |
| Stanford Health Care Stanford, CA | $53,589 | $3,250 |
| Doctors Hospital of Manteca Manteca, CA | $50,893 | $1,409 |
| North Okaloosa Medical Center Crestview, FL | $48,791 | $2,117 |
| Frye Regional Medical Center Hickory, NC | $48,652 | $2,078 |
| HCA Healthone Presbyterian St Lukes Denver, CO | $46,110 | $2,225 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Memorial Healthcare Owosso, MI | $3,049 | $2,046 |
| Columbus Community Hospital, Inc Columbus, NE | $3,104 | $1,600 |
| Salina Surgical Hospital Salina, KS | $3,111 | $1,938 |
| Billings Clinic Hospital Billings, MT | $3,136 | $2,191 |
| North Carolina Specialty Hospital Durham, NC | $3,450 | $2,108 |
| Sanford Bemidji Medical Center Bemidji, MN | $3,820 | $2,330 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA | $4,230 | $2,510 |
| Camc Charleston Surgical Hospital Charleston, WV | $4,510 | $1,981 |
| Providence Hospital Mobile, AL | $4,692 | $1,923 |
| South Shore Hospital South Weymouth, MA | $4,694 | $2,510 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.