Level 1 Intraocular Procedures in Alabama
What 34 hospitals in Alabama charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,343
Hospital list price billed
Average allowed
$1,907
Medicare's payment + patient's share
Medicare paid
$1,510
Average per service
State rank
#6 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $10,343 for level 1 intraocular procedures, about 5.4 times the average medicare-allowed amount of $1,907. That payment is 14% below the U.S. average 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.
Paid $1,907Billed $10,343
About 18¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 1 intraocular procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UAB Callahan Eye Hospital AuthorityBirmingham | 1,304 | $10,067 | $1,920 | $1,523 |
| Cullman Regional Medical CenterCullman | 497 | $7,099 | $2,075 | $1,646 |
| Walker Baptist Medical CenterJasper | 270 | $30,289 | $1,936 | $1,514 |
| Providence HospitalMobile | 242 | $4,981 | $1,930 | $1,534 |
| East Alabama Medical Center and SnfOpelika | 212 | $3,628 | $2,062 | $1,642 |
| Russell HospitalAlexander City | 201 | $5,830 | $1,864 | $1,471 |
| St Vincent's St ClairPell City | 170 | $14,579 | $1,858 | $1,459 |
| St Vincent's BirminghamBirmingham | 167 | $13,878 | $1,936 | $1,541 |
| St Vincent's ChiltonClanton | 162 | $9,024 | $1,908 | $1,512 |
| North Mississippi Health Services - South MarionWinfield | 157 | $5,109 | $1,863 | $1,475 |
| Andalusia Regional HospitalAndalusia | 154 | $11,430 | $1,973 | $1,563 |
| Athens-Limestone HospitalAthens | 139 | $7,494 | $878 | $694 |
| Helen Keller Memorial HospitalSheffield | 136 | $5,336 | $1,842 | $1,454 |
| Coosa Valley Medical CenterSylacauga | 120 | $9,130 | $1,870 | $1,475 |
| Shoals HospitalMuscle Shoals | 108 | $10,607 | $1,907 | $1,504 |
| Mobile InfirmaryMobile | 89 | $5,298 | $1,898 | $1,495 |
| Huntsville HospitalHuntsville | 88 | $9,105 | $1,934 | $1,533 |
| Northeast Alabama Regional Med CenterAnniston | 82 | $19,427 | $2,063 | $1,631 |
| Marion Regional Medical CenterHamilton | 70 | $11,300 | $1,909 | $1,516 |
| Mizell Memorial HospitalOpp | 52 | $4,269 | $1,883 | $1,492 |
| Medical West, an Affiliate of UAB Health SystemBessemer | 52 | $12,861 | $1,889 | $1,489 |
| Vaughan Reg Med Center Parkway CampusSelma | 49 | $11,800 | $2,036 | $1,615 |
| Fayette Medical CenterFayette | 47 | $10,514 | $1,804 | $1,410 |
| Dekalb Regional Medical CenterFort Payne | 41 | $12,330 | $2,026 | $1,611 |
| Elmore Community HospitalWetumpka | 38 | $9,104 | $1,926 | $1,520 |
| Citizens Baptist Medical CenterTalladega | 38 | $27,731 | $1,852 | $1,453 |
| Highlands Medical CenterScottsboro | 32 | $6,275 | $2,134 | $1,700 |
| Clay County HospitalAshland | 32 | $9,181 | $1,909 | $1,514 |
| South Baldwin Regional Medical CenterFoley | 29 | $30,716 | $1,779 | $1,379 |
| Bibb Medical CenterCentreville | 25 | $3,374 | $1,945 | $1,550 |
| Community Hospital INCTallassee | 22 | $4,570 | $1,815 | $1,417 |
| Baptist Medical Center SouthMontgomery | – | – | – | – |
| Jackson Hospital & Clinic INCMontgomery | – | – | – | – |
| Princeton Baptist Medical CenterBirmingham | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Athens-Limestone HospitalAthens, AL | $878 |
|---|---|
| South Baldwin Regional Medical CenterFoley, AL | $1,779 |
| Fayette Medical CenterFayette, AL | $1,804 |
| Community Hospital INCTallassee, AL | $1,815 |
| Helen Keller Memorial HospitalSheffield, AL | $1,842 |
Highest
| Highlands Medical CenterScottsboro, AL | $2,134 |
|---|---|
| Cullman Regional Medical CenterCullman, AL | $2,075 |
| Northeast Alabama Regional Med CenterAnniston, AL | $2,063 |
| East Alabama Medical Center and SnfOpelika, AL | $2,062 |
| Vaughan Reg Med Center Parkway CampusSelma, AL | $2,036 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Alabama?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 34 hospitals in Alabama was billed at $10,343 on average, while the average medicare-allowed amount was $1,907, of which Medicare paid $1,510. 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 Alabama, average charges were 5.4 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.