Level 1 Intraocular Procedures in Georgia
What 52 hospitals in Georgia charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$17,996
Hospital list price billed
Average allowed
$2,050
Medicare's payment + patient's share
Medicare paid
$1,628
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $17,996 for level 1 intraocular procedures, about 8.8 times the average medicare-allowed amount of $2,050. That payment is 7% 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 $2,050Billed $17,996
About 11¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 1 intraocular procedures
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northside HospitalAtlanta | 902 | $17,366 | $2,146 | $1,706 |
| Northside Hospital ForsythCumming | 585 | $10,786 | $2,157 | $1,716 |
| Blue Ridge Medical CenterBlue Ridge | 424 | $15,563 | $2,056 | $1,656 |
| Navicent Health BaldwinMilledgeville | 234 | $9,177 | $1,908 | $1,510 |
| Walton Regional Medical CenterMonroe | 223 | $31,660 | $2,109 | $1,665 |
| East Georgia Regional Medical CenterStatesboro | 218 | $13,397 | $2,057 | $1,627 |
| Gordon HospitalCalhoun | 176 | $28,770 | $2,090 | $1,655 |
| Wellstar Paulding HospitalDallas | 163 | $23,513 | $2,101 | $1,659 |
| Union General HospitalBlairsville | 163 | $10,605 | $2,110 | $1,670 |
| Gwinnett Medical CenterLawrenceville | 162 | $14,502 | $2,099 | $1,659 |
| Northside Hospital CherokeeCanton | 158 | $14,516 | $970 | $768 |
| Satilla Regional Medical CenterWaycross | 141 | $21,929 | $2,166 | $1,720 |
| Floyd Medical CenterRome | 138 | $35,104 | $2,112 | $1,681 |
| Athens Regional Medical CenterAthens | 136 | $30,919 | $2,022 | $1,601 |
| Cartersville Medical CenterCartersville | 129 | $32,098 | $2,136 | $1,696 |
| St Joseph's Hospital - SavannahSavannah | 128 | $7,985 | $1,936 | $1,535 |
| Murray Medical CenterChatsworth | 114 | $18,170 | $1,979 | $1,569 |
| Rockdale Medical CenterConyers | 111 | $31,101 | $2,163 | $1,722 |
| Grady Memorial HospitalAtlanta | 103 | $37,759 | $2,163 | $1,720 |
| Piedmont Newnan Hospital, INCNewnan | 97 | $31,105 | $2,092 | $1,650 |
| Tift Regional Medical CenterTifton | 94 | $11,873 | $1,997 | $1,591 |
| Dodge County HospitalEastman | 89 | $7,025 | $1,942 | $1,533 |
| Sumter Regional HospitalAmericus | 84 | $8,964 | $1,944 | $1,535 |
| Memorial Hospital and ManorBainbridge | 76 | $9,317 | $1,949 | $1,549 |
| Cobb Memorial HospitalRoyston | 55 | $6,083 | $1,941 | $1,541 |
| Meadows Regional Medical Center INCVidalia | 55 | $22,219 | $2,018 | $1,587 |
| Phoebe Putney Memorial HospitalAlbany | 53 | $8,079 | $2,161 | $1,715 |
| Emory University HospitalAtlanta | 50 | $14,313 | $2,128 | $1,688 |
| Stephens County HospitalToccoa | 48 | $13,723 | $1,970 | $1,569 |
| Dorminy Medical CenterFitzgerald | 45 | $8,446 | $1,948 | $1,545 |
| Medical College of Ga Hospitals and ClinicsAugusta | 44 | $18,615 | $1,918 | $1,523 |
| Wayne Memorial HospitalJesup | 42 | $16,277 | $2,110 | $1,681 |
| St Mary's HospitalAthens | 37 | $15,925 | $2,084 | $1,647 |
| Piedmont Columbus Regional MidtownColumbus | 33 | $28,200 | $1,827 | $1,418 |
| Upson Regional Medical CenterThomaston | 28 | $13,611 | $2,276 | $1,813 |
| Emanuel Medical CenterSwainsboro | 23 | $12,498 | $2,110 | $1,674 |
| Northside Hospital DuluthDuluth | 22 | $22,468 | $2,163 | $1,723 |
| Wellstar Douglas HospitalDouglasville | 15 | $26,002 | $2,163 | $1,719 |
| Coffee Regional Medical CenterDouglas | 11 | $11,094 | $2,110 | $1,681 |
| Hamilton Medical CenterDalton | – | – | – | – |
| Candler HospitalSavannah | – | – | – | – |
| Southeast Georgia Reg Med CtrBrunswick | – | – | – | – |
| Memorial Health Univ Med Cen, INCSavannah | – | – | – | – |
| Emory Decatur HospitalDecatur | – | – | – | – |
| Piedmont HospitalAtlanta | – | – | – | – |
| Atrium Health Navicent the Medical CenterMacon | – | – | – | – |
| Sgmc HealthValdosta | – | – | – | – |
| Coliseum Medical CenterMacon | – | – | – | – |
| Redmond Regional Medical CenterRome | – | – | – | – |
| Emory Eastside Medical CenterSnellville | – | – | – | – |
| Piedmont Macon North HospitalMacon | – | – | – | – |
| Piedmont Fayette HospitalFayetteville | – | – | – | – |
Lowest and highest allowed amounts in Georgia
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
| Northside Hospital CherokeeCanton, GA | $970 |
|---|---|
| Piedmont Columbus Regional MidtownColumbus, GA | $1,827 |
| Navicent Health BaldwinMilledgeville, GA | $1,908 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $1,918 |
| St Joseph's Hospital - SavannahSavannah, GA | $1,936 |
Highest
| Upson Regional Medical CenterThomaston, GA | $2,276 |
|---|---|
| Satilla Regional Medical CenterWaycross, GA | $2,166 |
| Wellstar Douglas HospitalDouglasville, GA | $2,163 |
| Grady Memorial HospitalAtlanta, GA | $2,163 |
| Rockdale Medical CenterConyers, GA | $2,163 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Georgia?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 52 hospitals in Georgia was billed at $17,996 on average, while the average medicare-allowed amount was $2,050, of which Medicare paid $1,628. 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 Georgia, average charges were 8.8 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.