Level 1 Intraocular Procedures in Connecticut
What 18 hospitals in Connecticut charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$9,890
Hospital list price billed
Average allowed
$2,561
Medicare's payment + patient's share
Medicare paid
$2,034
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $9,890 for level 1 intraocular procedures, about 3.9 times the average medicare-allowed amount of $2,561. That payment is 16% 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 $2,561Billed $9,890
About 26¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 1 intraocular procedures
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hartford HospitalHartford | 1,331 | $7,559 | $2,575 | $2,044 |
| Greenwich Hospital AssociationGreenwich | 715 | $9,736 | $2,444 | $1,945 |
| Yale-New Haven HospitalNew Haven | 405 | $10,155 | $2,577 | $2,043 |
| Griffin HospitalDerby | 301 | $15,418 | $2,597 | $2,059 |
| Saint Marys HospitalWaterbury | 261 | $13,298 | $2,539 | $2,010 |
| Lawrence & Memorial HospitalNew London | 241 | $10,868 | $2,582 | $2,052 |
| Danbury HospitalDanbury | 197 | $9,527 | $2,582 | $2,049 |
| Day Kimball HospitalPutnam | 171 | $5,947 | $2,600 | $2,071 |
| Bridgeport HospitalBridgeport | 167 | $13,419 | $2,575 | $2,041 |
| Sharon HospitalSharon | 126 | $5,510 | $2,767 | $2,201 |
| Charlotte Hungerford HospitalTorrington | 84 | $6,743 | $2,575 | $2,047 |
| John Dempsey HospitalFarmington | 59 | $16,343 | $2,600 | $2,068 |
| Johnson Memorial HospitalStafford Springs | 56 | $7,341 | $2,600 | $2,071 |
| Bristol HospitalBristol | 46 | $19,735 | $2,600 | $2,071 |
| Stamford HospitalStamford | 41 | $19,365 | $2,625 | $2,091 |
| Manchester Memorial HospitalCentral Manchester | 31 | $16,618 | $2,600 | $2,065 |
| Norwalk HospitalNorwalk | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
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
| Greenwich Hospital AssociationGreenwich, CT | $2,444 |
|---|---|
| Saint Marys HospitalWaterbury, CT | $2,539 |
| Hartford HospitalHartford, CT | $2,575 |
| Bridgeport HospitalBridgeport, CT | $2,575 |
| Charlotte Hungerford HospitalTorrington, CT | $2,575 |
Highest
| Sharon HospitalSharon, CT | $2,767 |
|---|---|
| Stamford HospitalStamford, CT | $2,625 |
| Manchester Memorial HospitalCentral Manchester, CT | $2,600 |
| John Dempsey HospitalFarmington, CT | $2,600 |
| Day Kimball HospitalPutnam, CT | $2,600 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Connecticut?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 18 hospitals in Connecticut was billed at $9,890 on average, while the average medicare-allowed amount was $2,561, of which Medicare paid $2,034. 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 Connecticut, average charges were 3.9 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.