Level 1 Intraocular Procedures in Florida
What 42 hospitals in Florida charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$23,755
Hospital list price billed
Average allowed
$2,005
Medicare's payment + patient's share
Medicare paid
$1,592
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Florida billed an average of $23,755 for level 1 intraocular procedures, about 11.8 times the average medicare-allowed amount of $2,005. That payment is 9% 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 $2,005Billed $23,755
About 8¢ was paid for every $1 hospitals in Florida billed for this service.
Florida hospitals: level 1 intraocular procedures
Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Univ of Miami Hosp & ClinicsMiami | 1,914 | $25,836 | $2,095 | $1,665 |
| Mayo ClinicJacksonville | 671 | $16,906 | $2,096 | $1,667 |
| Shands Hospital at the University of FloridaGainesville | 385 | $16,389 | $921 | $731 |
| South Lake HospitalClermont | 323 | $24,709 | $2,095 | $1,666 |
| Putnam Community Medical CtrPalatka | 220 | $13,853 | $2,105 | $1,669 |
| Imperial Point Medical CenterFort Lauderdale | 210 | $17,073 | $2,095 | $1,660 |
| Flagler HospitalSt Augustine | 191 | $10,858 | $2,261 | $1,799 |
| North Okaloosa Medical CenterCrestview | 161 | $26,105 | $2,059 | $1,627 |
| Shands Jacksonville Medical CenterJacksonville | 112 | $28,029 | $2,038 | $1,607 |
| Twin Cities HospitalNiceville | 101 | $32,064 | $2,061 | $1,632 |
| Tampa General HospitalTampa | 99 | $44,549 | $2,111 | $1,674 |
| Adventhealth OrlandoOrlando | 90 | $19,937 | $2,111 | $1,680 |
| Citrus Memorial HospitalInverness | 74 | $57,798 | $2,111 | $1,678 |
| Capital Regional Medical CenterTallahassee | 60 | $43,420 | $2,058 | $1,618 |
| Lake Wales Medical CenterLake Wales | 59 | $69,525 | $2,125 | $1,686 |
| Halifax Health Medical CenterDaytona Beach | 58 | $15,338 | $2,053 | $1,624 |
| St Cloud Regional Medical CenterSt Cloud | 57 | $22,299 | $2,111 | $1,682 |
| Adventhealth SebringSebring | 44 | $23,397 | $2,111 | $1,680 |
| Lee Memorial HospitalFort Myers | 36 | $18,441 | $1,126 | $897 |
| Lower Keys Medical CenterKey West | 31 | $25,575 | $2,261 | $1,799 |
| Adventhealth Port CharlottePort Charlotte | 29 | $39,911 | $2,111 | $1,682 |
| Kendall Regional Medical CenterMiami | 28 | $54,787 | $2,111 | $1,679 |
| Ed Fraser Memorial HospitalMacclenny | 23 | $4,943 | $2,261 | $1,801 |
| South Florida Baptist HospitalPlant City | 19 | $11,418 | $1,861 | $1,416 |
| Florida Hospital WatermanEustis | 17 | $15,100 | $2,111 | $1,682 |
| Jackson HospitalMarianna | 16 | $8,695 | $2,261 | $1,801 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 14 | $10,397 | $2,111 | $1,682 |
| Florida Hospital ZephyrhillsZephyrhills | 13 | $23,754 | $2,111 | $1,682 |
| Sacred Heart HospitalPensacola | – | – | – | – |
| Bay Medical CenterPanama City | – | – | – | – |
| Memorial Regional HospitalHollywood | – | – | – | – |
| St Vincent's Medical CenterJacksonville | – | – | – | – |
| Highlands Regional Medical CenterSebring | – | – | – | – |
| North Broward Medical CenterPompano Beach | – | – | – | – |
| Sarasota Memorial HospitalSarasota | – | – | – | – |
| Morton Plant HospitalClearwater | – | – | – | – |
| Tallahassee Memorial HealthcareTallahassee | – | – | – | – |
| South Miami HospitalMiami | – | – | – | – |
| Cape Canaveral HospitalCocoa Beach | – | – | – | – |
| Larkin Community HospitalSouth Miami | – | – | – | – |
| Northside HospitalSt Petersburg | – | – | – | – |
| Regional Medical Center Bayonet PointHudson | – | – | – | – |
Lowest and highest allowed amounts in Florida
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
| Shands Hospital at the University of FloridaGainesville, FL | $921 |
|---|---|
| Lee Memorial HospitalFort Myers, FL | $1,126 |
| South Florida Baptist HospitalPlant City, FL | $1,861 |
| Shands Jacksonville Medical CenterJacksonville, FL | $2,038 |
| Halifax Health Medical CenterDaytona Beach, FL | $2,053 |
Highest
| Flagler HospitalSt Augustine, FL | $2,261 |
|---|---|
| Lower Keys Medical CenterKey West, FL | $2,261 |
| Ed Fraser Memorial HospitalMacclenny, FL | $2,261 |
| Jackson HospitalMarianna, FL | $2,261 |
| Lake Wales Medical CenterLake Wales, FL | $2,125 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Florida?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 42 hospitals in Florida was billed at $23,755 on average, while the average medicare-allowed amount was $2,005, of which Medicare paid $1,592. 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 Florida, average charges were 11.8 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.