Level 1 Intraocular Procedures in California
What 128 hospitals in California charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$20,967
Hospital list price billed
Average allowed
$2,982
Medicare's payment + patient's share
Medicare paid
$2,370
Average per service
State rank
#49 of 49
1 = lowest average payment
Hospitals in California billed an average of $20,967 for level 1 intraocular procedures, about 7.0 times the average medicare-allowed amount of $2,982. That payment is 35% above 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 $2,982Billed $20,967
About 14¢ was paid for every $1 hospitals in California billed for this service.
California hospitals: level 1 intraocular procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Fresno Surgical HospitalFresno | 2,479 | $10,686 | $2,857 | $2,272 |
| UCLA Medical CenterLos Angeles | 1,990 | $10,567 | $2,844 | $2,261 |
| UCI Health-OrangeOrange | 1,628 | $19,830 | $2,858 | $2,276 |
| Stanford HospitalPalo Alto | 1,626 | $47,059 | $3,275 | $2,607 |
| University of California San Diego Medical CenterSan Diego | 1,235 | $13,241 | $2,860 | $2,275 |
| Peninsula Medical CenterBurlingame | 918 | $17,586 | $3,289 | $2,609 |
| University of California Davis Medical CenterSacramento | 896 | $27,697 | $2,895 | $2,304 |
| UCSF Medical CenterSan Francisco | 795 | $34,541 | $3,268 | $2,601 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley | 678 | $19,149 | $3,221 | $2,561 |
| Oroville HospitalOroville | 665 | $6,273 | $2,842 | $2,254 |
| El Centro Regional Medical CenterEl Centro | 664 | $10,144 | $2,858 | $2,275 |
| Sutter Maternity & Surgery Center of Santa CruzSanta Cruz | 635 | $15,220 | $3,106 | $2,473 |
| USC University HospitalLos Angeles | 624 | $13,504 | $2,856 | $2,269 |
| St Jude Medical CenterFullerton | 555 | $11,216 | $2,861 | $2,278 |
| San Ramon Regional Medical CtrSan Ramon | 537 | $38,399 | $3,216 | $2,554 |
| Stanford Health Care Tri-ValleyPleasanton | 530 | $41,991 | $3,262 | $2,591 |
| Saint Agnes Medical CenterFresno | 411 | $12,802 | $2,865 | $2,281 |
| Memorial Medical CenterModesto | 406 | $14,410 | $2,859 | $2,276 |
| Sharp Memorial HospitalSan Diego | 399 | $21,947 | $2,865 | $2,278 |
| Mad River Community HospitalArcata | 378 | $16,722 | $2,859 | $2,277 |
| Woodland Memorial HospitalWoodland | 333 | $8,894 | $2,970 | $2,364 |
| Petaluma Valley HospitalPetaluma | 314 | $16,722 | $3,107 | $2,468 |
| San Francisco General HospitalSan Francisco | 307 | $33,262 | $3,293 | $2,623 |
| Seton Medical CenterDaly City | 302 | $20,202 | $3,315 | $2,629 |
| Queen of the Valley Medical CenterNapa | 286 | $25,604 | $3,255 | $2,587 |
| Marinhealth Medical CenterGreenbrae | 284 | $51,835 | $3,255 | $2,593 |
| Ukiah Valley Medical Center/Hospital DUkiah | 253 | $12,886 | $3,068 | $2,444 |
| St Johns Regional Medical CenterOxnard | 251 | $19,302 | $2,865 | $2,280 |
| Community Memorial Hospital - VenturaVentura | 250 | $18,915 | $2,847 | $2,264 |
| Los Angeles General Medical CenterLos Angeles | 242 | $16,855 | $2,865 | $2,275 |
| Sharp Chula Vista Medical CenterChula Vista | 226 | $22,861 | $2,855 | $2,268 |
| Mercy General HospitalSacramento | 224 | $14,900 | $2,976 | $2,363 |
| Pomona Valley Hospital Medical CenterPomona | 200 | $44,542 | $2,831 | $2,246 |
| Torrance Memorial Medical CenterTorrance | 199 | $12,673 | $2,831 | $2,247 |
| Scripps Memorial Hospital la JollaLa Jolla | 193 | $46,071 | $2,865 | $2,281 |
| Good Samaritan HospitalLos Angeles | 192 | $27,485 | $2,866 | $2,256 |
| El Camino HospitalMountain View | 170 | $32,689 | $3,282 | $2,612 |
| Chinese HospitalSan Francisco | 159 | $16,172 | $3,331 | $2,636 |
| Sutter Solano Medical CenterVallejo | 147 | $14,218 | $3,335 | $2,648 |
| Highland HospitalOakland | 145 | $16,523 | $3,236 | $2,569 |
| Sutter Davis HospitalDavis | 144 | $15,703 | $2,943 | $2,338 |
| Santa Clara Valley Medical CenterSan Jose | 142 | $17,771 | $3,247 | $2,585 |
| Grossmont HospitalLa Mesa | 138 | $22,704 | $2,865 | $2,282 |
| PIH Health Hospital-WhittierWhittier | 134 | $24,149 | $2,848 | $2,264 |
| Sonoma Valley HospitalSonoma | 128 | $31,206 | $3,111 | $2,467 |
| Contra Costa Regional Medical CenterMartinez | 124 | $12,488 | $3,213 | $2,554 |
| Lac/Olive View-UCLA Medical CenterSylmar | 119 | $18,523 | $2,866 | $2,260 |
| Doctors Hospital of MantecaManteca | 114 | $36,511 | $1,186 | $945 |
| Loma Linda University Medical CenterLoma Linda | 112 | $34,920 | $2,846 | $2,262 |
| St Mary Medical CenterApple Valley | 95 | $10,732 | $2,847 | $2,268 |
| Lac/Harbor-UCLA Med CenterTorrance | 90 | $20,265 | $2,865 | $2,275 |
| Arrowhead Regional Medical CenterColton | 88 | $27,797 | $2,839 | $2,257 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 87 | $16,655 | $3,331 | $2,650 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 83 | $17,351 | $2,865 | $2,283 |
| Regional Medical Center of San JoseSan Jose | 82 | $60,640 | $3,282 | $2,577 |
| Hollywood Presbyterian Medical CenterLos Angeles | 77 | $24,601 | $2,865 | $2,277 |
| Alameda HospitalAlameda | 74 | $13,655 | $3,237 | $2,552 |
| Alhambra Hospital Medical CenterAlhambra | 73 | $21,039 | $2,867 | $2,188 |
| Palomar Medical Center PowayPoway | 73 | $22,660 | $2,396 | $1,814 |
| Santa Rosa Memorial HospitalSanta Rosa | 65 | $36,406 | $3,224 | $2,557 |
| Foothill Presbyterian HospitalGlendora | 63 | $22,810 | $2,829 | $2,239 |
| Sutter Amador HospitalJackson | 61 | $14,373 | $3,188 | $2,538 |
| Stanislaus Surgical HospitalModesto | 59 | $16,362 | $2,928 | $2,332 |
| Scripps Mercy HospitalSan Diego | 55 | $45,347 | $2,865 | $2,275 |
| Kaiser Foundation Hospital - San DiegoSan Diego | 46 | $9,342 | $2,719 | $2,122 |
| Henry Mayo Newhall Memorial HospitalValencia | 46 | $18,688 | $2,766 | $2,183 |
| Kaiser Foundation Hospital - Sacramento/RosevilleSacramento | 43 | $15,103 | $3,106 | $2,431 |
| Centinela Hospital Medical CenterInglewood | 36 | $43,703 | $2,865 | $2,283 |
| Community Regional Medical CenterFresno | 35 | $20,770 | $2,865 | $2,278 |
| Methodist Hospital of SacramentoSacramento | 34 | $14,076 | $1,190 | $948 |
| Kaiser Foundation Hospital - VacavilleVacaville | 33 | $16,484 | $3,288 | $2,598 |
| Good Samaritan HospitalSan Jose | 32 | $97,947 | $3,282 | $2,615 |
| Dameron HospitalStockton | 30 | $20,890 | $2,927 | $2,332 |
| French Hospital Medical CenterSan Luis Obispo | 30 | $25,798 | $2,865 | $2,279 |
| Lompoc Healthcare DistrictLompoc | 28 | $11,196 | $2,865 | $2,283 |
| Sierra View District HospitalPorterville | 28 | $29,654 | $2,865 | $2,269 |
| East los Angeles Doctors HospitalLos Angeles | 28 | $20,088 | $2,866 | $2,253 |
| Community Hospital of the Monterey PeninsulaMonterey | 26 | $25,151 | $3,282 | $2,613 |
| Riverside County Regional Medical CenterMoreno Valley | 26 | $30,292 | $2,072 | $1,651 |
| Kaiser Foundation Hospital - los AngelesLos Angeles | 24 | $9,080 | $2,717 | $2,123 |
| Novato Community HospitalNovato | 23 | $16,684 | $3,255 | $2,593 |
| Kaiser Foundation Hospital - Woodland HillsWoodland Hills | 22 | $7,800 | $2,810 | $2,209 |
| UCI Health-Placentia LindaPlacentia | 21 | $44,296 | $2,865 | $2,283 |
| Doctors Medical CenterModesto | 20 | $28,381 | $2,865 | $2,283 |
| Kaiser Foundation Hospital-San JoseSan Jose | 19 | $16,042 | $3,218 | $2,546 |
| Kaiser Foundation Hospital - Baldwin ParkBaldwin Park | 19 | $8,249 | $2,810 | $2,228 |
| Providence Saint Joseph Medical CtrBurbank | 18 | $20,212 | $2,865 | $2,270 |
| Kaiser Foundation Hospital - Harbor CityHarbor City | 17 | $9,660 | $2,056 | $1,638 |
| Paradise Valley HospitalNational City | 16 | $32,234 | $2,865 | $2,283 |
| Kaiser Foundation Hospital FontanaFontana | 15 | $11,090 | $2,661 | $2,064 |
| San Mateo Medical CenterSan Mateo | 14 | $15,565 | $3,331 | $2,654 |
| Saint John's Health CenterSanta Monica | 14 | $5,698 | $2,865 | $2,283 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 13 | $11,353 | $2,865 | $2,283 |
| Encino Hospital Medical CenterEncino | 13 | $23,858 | $2,866 | $2,239 |
| Kaiser Foundation HospitalSanta Clara | 12 | $15,196 | $2,808 | $2,089 |
| Valley Presbyterian HospitalVan Nuys | 12 | $11,150 | $2,865 | $2,280 |
| Downey Regional Medical CenterDowney | 12 | $17,466 | $2,732 | $2,118 |
| St Mary's Medical CenterSan Francisco | 11 | $39,910 | $3,090 | $2,413 |
| Kaiser Foundation Hospital-Moreno ValleyMoreno Valley | 11 | $10,399 | $2,810 | $2,230 |
| St Elizabeth Community HospitalRed Bluff | – | – | – | – |
| Kaweah Delta Medical CenterVisalia | – | – | – | – |
| John Muir/Mt Diablo Hlth SystWalnut Creek | – | – | – | – |
| Kaiser Foundation Hospital Oakland/RichmondOakland | – | – | – | – |
| Kaiser Foundation Hospital - San FranciscoSan Francisco | – | – | – | – |
| San Antonio Community HospitalUpland | – | – | – | – |
| White Memorial Medical CenterLos Angeles | – | – | – | – |
| Marian Medical CenterSanta Maria | – | – | – | – |
| Kaiser Foundation Hospital - Panorama CityPanorama City | – | – | – | – |
| Kaiser Foundation HospitalBellflower | – | – | – | – |
| St Mary Medical CenterLong Beach | – | – | – | – |
| Desert Regional Medical CenterPalm Springs | – | – | – | – |
| Sutter Tracy Community HospitalTracy | – | – | – | – |
| Salinas Valley Memorial HospitalSalinas | – | – | – | – |
| Providence Little Company of Mary Med Ctr TorranceTorrance | – | – | – | – |
| Santa Barbara Cottage HospitalSanta Barbara | – | – | – | – |
| Los Alamitos Medical CenterLos Alamitos | – | – | – | – |
| Kaiser Foundation Hospital - West laLos Angeles | – | – | – | – |
| Mission Hospital Regional Med CenterMission Viejo | – | – | – | – |
| La Palma Intercommunity HospBuena Park | – | – | – | – |
| Kaiser Foundation Hospital AnaheimAnaheim | – | – | – | – |
| Kaiser Foundation Hosp So SacramentoSacramento | – | – | – | – |
| Kaiser Foundation Hospital, RiversideRiverside | – | – | – | – |
| Kaiser Foundation Hospital-Santa RosaSanta Rosa | – | – | – | – |
| Kaiser Foundation Hospital - FresnoFresno | – | – | – | – |
| Kaiser Foundation Hospital MantecaManteca | – | – | – | – |
| Coast Plaza HospitalNorwalk | – | – | – | – |
| Kaiser Foundation Hospital - RosevilleRoseville | – | – | – | – |
| Kaiser Foundation Hospital - San MarcosSan Marcos | – | – | – | – |
Lowest and highest allowed amounts in California
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
| Doctors Hospital of MantecaManteca, CA | $1,186 |
|---|---|
| Methodist Hospital of SacramentoSacramento, CA | $1,190 |
| Kaiser Foundation Hospital - Harbor CityHarbor City, CA | $2,056 |
| Riverside County Regional Medical CenterMoreno Valley, CA | $2,072 |
| Palomar Medical Center PowayPoway, CA | $2,396 |
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 |
| San Mateo Medical CenterSan Mateo, CA | $3,331 |
| Seton Medical CenterDaly City, CA | $3,315 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in California?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 128 hospitals in California was billed at $20,967 on average, while the average medicare-allowed amount was $2,982, of which Medicare paid $2,370. 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 California, average charges were 7.0 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.