Level 1 Intraocular Procedures in Idaho
What 5 hospitals in Idaho charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$17,838
Hospital list price billed
Average allowed
$2,114
Medicare's payment + patient's share
Medicare paid
$1,675
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $17,838 for level 1 intraocular procedures, about 8.4 times the average medicare-allowed amount of $2,114. That payment is 4% 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 $2,114Billed $17,838
About 12¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 1 intraocular procedures
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| West Valley Medical CenterCaldwell | 123 | $15,628 | $2,084 | $1,655 |
| Portneuf Medical CenterPocatello | 55 | $22,778 | $2,181 | $1,721 |
| St Lukes Regional Medical CenterBoise | – | – | – | – |
| Eastern Idaho Regional Medical CenterIdaho Falls | – | – | – | – |
| Mountain View HospitalIdaho Falls | – | – | – | – |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Idaho?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 5 hospitals in Idaho was billed at $17,838 on average, while the average medicare-allowed amount was $2,114, of which Medicare paid $1,675. 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 Idaho, average charges were 8.4 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.