Level 1 Intraocular Procedures in Hawaii
What 4 hospitals in Hawaii charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,239
Hospital list price billed
Average allowed
$2,705
Medicare's payment + patient's share
Medicare paid
$2,140
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Hawaii billed an average of $10,239 for level 1 intraocular procedures, about 3.8 times the average medicare-allowed amount of $2,705. That payment is 23% 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 $2,705Billed $10,239
About 26¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 1 intraocular procedures
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 83 | $10,305 | $2,554 | $2,005 |
| Wilcox Memorial HospitalLihue | 76 | $10,168 | $2,871 | $2,286 |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Kona Community HospitalKealakekua | – | – | – | – |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Hawaii?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 4 hospitals in Hawaii was billed at $10,239 on average, while the average medicare-allowed amount was $2,705, of which Medicare paid $2,140. 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 Hawaii, average charges were 3.8 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.