Level 1 Intraocular Procedures
What 1,382 hospitals in the U.S. charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$13,330
Hospital list price billed
Average allowed
$2,208
Medicare's payment + patient's share
Medicare paid
$1,752
Average per service
Volume
275,392
Medicare services
Hospitals in the U.S. billed an average of $13,330 for level 1 intraocular procedures, about 6.0 times the average medicare-allowed amount of $2,208.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Memorial Hospital at GulfportGulfport, MS | $752 |
|---|---|
| Magee Womens Hospital of UPMC Health SystemPittsburgh, PA | $802 |
| Barnes-Jewish West County HospitalSt Louis, MO | $813 |
| Metrohealth SystemCleveland, OH | $848 |
| Carle Foundation HospitalUrbana, IL | $853 |
| Northwestern Medical CenterSt Albans, VT | $866 |
| Athens-Limestone HospitalAthens, AL | $878 |
| Gettysburg HospitalGettysburg, PA | $916 |
| Shands Hospital at the University of FloridaGainesville, FL | $921 |
| Central Peninsula General HospitalSoldotna, AK | $937 |
Highest
| Sutter Solano Medical CenterVallejo, CA | $3,335 |
|---|---|
| Chinese HospitalSan Francisco, CA | $3,331 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $3,331 |
| Seton Medical CenterDaly City, CA | $3,315 |
| San Francisco General HospitalSan Francisco, CA | $3,293 |
| Peninsula Medical CenterBurlingame, CA | $3,289 |
| Kaiser Foundation Hospital - VacavilleVacaville, CA | $3,288 |
| Regional Medical Center of San JoseSan Jose, CA | $3,282 |
| El Camino HospitalMountain View, CA | $3,282 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $3,282 |
Level 1 Intraocular Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 34 | $10,343 | $1,907 | $878 – $2,134 |
| Alaska | 4 | $10,066 | $2,159 | $937 – $2,576 |
| Arizona | 8 | $11,095 | $2,260 | $2,000 – $2,434 |
| Arkansas | 11 | $10,110 | $1,998 | $1,901 – $2,105 |
| California | 128 | $20,967 | $2,982 | $1,186 – $3,335 |
| Colorado | 15 | $10,292 | $2,229 | $2,192 – $2,376 |
| Connecticut | 18 | $9,890 | $2,561 | $2,444 – $2,767 |
| Delaware | 3 | $8,092 | $2,305 | $2,273 – $2,329 |
| Florida | 42 | $23,755 | $2,005 | $921 – $2,261 |
| Georgia | 52 | $17,996 | $2,050 | $970 – $2,276 |
| Hawaii | 4 | $10,239 | $2,705 | $2,554 – $2,871 |
| Idaho | 5 | $17,838 | $2,114 | $2,084 – $2,181 |
| Illinois | 80 | $14,913 | $2,182 | $853 – $2,307 |
| Indiana | 39 | $14,590 | $2,093 | $2,018 – $2,225 |
| Iowa | 18 | $9,485 | $2,033 | $1,965 – $2,152 |
| Kansas | 22 | $10,468 | $1,923 | $957 – $2,180 |
| Kentucky | 30 | $11,093 | $1,995 | $1,819 – $2,148 |
| Louisiana | 38 | $14,066 | $1,951 | $1,827 – $2,094 |
| Maine | 8 | $10,362 | $2,121 | $1,971 – $2,288 |
| Massachusetts | 25 | $7,173 | $2,488 | $2,378 – $2,503 |
| Michigan | 59 | $11,958 | $2,051 | $1,691 – $2,197 |
| Minnesota | 31 | $9,693 | $2,279 | $2,091 – $2,389 |
| Mississippi | 15 | $11,121 | $1,738 | $752 – $2,090 |
| Missouri | 32 | $10,641 | $1,956 | $813 – $2,221 |
| Montana | 6 | $8,811 | $2,155 | $2,108 – $2,175 |
| Nebraska | 7 | $5,765 | $1,974 | $1,305 – $2,169 |
| Nevada | 4 | $48,648 | $2,829 | $2,829 – $2,829 |
| New Hampshire | 6 | $11,493 | $2,306 | $2,147 – $2,377 |
| New Jersey | 26 | $20,078 | $2,551 | $1,977 – $2,652 |
| New Mexico | 5 | $17,235 | $1,781 | $955 – $2,174 |
| New York | 89 | $16,196 | $2,571 | $988 – $2,652 |
| North Carolina | 57 | $10,131 | $2,087 | $1,993 – $2,348 |
| North Dakota | 4 | $6,977 | $2,253 | $2,174 – $2,313 |
| Ohio | 56 | $10,588 | $1,898 | $848 – $2,240 |
| Oklahoma | 31 | $13,361 | $2,020 | $1,874 – $2,135 |
| Oregon | 13 | $9,140 | $2,455 | $2,334 – $3,030 |
| Pennsylvania | 74 | $14,401 | $1,974 | $802 – $2,456 |
| Rhode Island | 4 | $7,186 | $2,362 | $2,344 – $2,365 |
| South Carolina | 17 | $14,082 | $1,770 | $1,020 – $2,129 |
| South Dakota | 10 | $7,975 | $2,280 | $2,142 – $2,340 |
| Tennessee | 31 | $10,582 | $1,924 | $1,337 – $2,062 |
| Texas | 80 | $16,428 | $2,069 | $1,048 – $2,231 |
| Utah | 18 | $8,000 | $2,084 | $2,011 – $2,236 |
| Vermont | 5 | $7,070 | $1,109 | $866 – $1,510 |
| Virginia | 31 | $11,761 | $2,088 | $1,900 – $2,292 |
| Washington | 18 | $10,299 | $2,422 | $2,285 – $2,547 |
| West Virginia | 16 | $8,090 | $1,954 | $1,839 – $2,198 |
| Wisconsin | 47 | $11,482 | $2,122 | $2,029 – $2,270 |
| Wyoming | 3 | $7,471 | $2,156 | $2,124 – $2,340 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston, MA | 3,528 | $6,200 | $2,489 |
| Cleveland Clinic - Main CampusCleveland, OH | 3,336 | $7,596 | $1,973 |
| Riverside Regional Medical CenterNewport News, VA | 2,609 | $10,456 | $1,988 |
| Fresno Surgical HospitalFresno, CA | 2,479 | $10,686 | $2,857 |
| Evanston HospitalEvanston, IL | 2,412 | $16,316 | $2,162 |
| New York-Presbyterian HospitalNew York, NY | 2,406 | $19,019 | $2,634 |
| Lincoln Surgical HospitalLincoln, NE | 2,109 | $4,946 | $2,068 |
| Willis Knighton Medical CenterShreveport, LA | 2,057 | $14,162 | $1,990 |
| Lenox Hill HospitalNew York, NY | 1,999 | $18,247 | $2,592 |
| UCLA Medical CenterLos Angeles, CA | 1,990 | $10,567 | $2,844 |
| Univ of Miami Hosp & ClinicsMiami, FL | 1,914 | $25,836 | $2,095 |
| Ny Eye and Ear InfirmaryNew York, NY | 1,911 | $12,269 | $2,631 |
| NYU Hospitals CenterNew York, NY | 1,763 | $37,012 | $2,615 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | 1,739 | $7,056 | $2,066 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 1,732 | $10,722 | $2,376 |
Questions
How much does level 1 intraocular procedures cost in the U.S.?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 1,382 hospitals in the U.S. was billed at $13,330 on average, while the average medicare-allowed amount was $2,208, of which Medicare paid $1,752. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 1 intraocular procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($2,982), Nevada ($2,829), Hawaii ($2,705) and lowest in Vermont ($1,109), Mississippi ($1,738), South Carolina ($1,770).
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 the U.S., average charges were 6.0 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.