Level 1 Intraocular Procedures in Illinois
What 80 hospitals in Illinois charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$14,913
Hospital list price billed
Average allowed
$2,182
Medicare's payment + patient's share
Medicare paid
$1,734
Average per service
State rank
#32 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $14,913 for level 1 intraocular procedures, about 6.8 times the average medicare-allowed amount of $2,182. That payment is 1% 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 $2,182Billed $14,913
About 15¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 1 intraocular procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 2,412 | $16,316 | $2,162 | $1,722 |
| Northwestern Memorial HospitalChicago | 1,330 | $21,161 | $2,254 | $1,793 |
| Advocate Good Shepherd HospitalBarrington | 866 | $9,427 | $2,179 | $1,731 |
| Advocate Condell Medical CenterLibertyville | 724 | $18,885 | $2,190 | $1,742 |
| St Johns HospitalSpringfield | 713 | $17,354 | $2,125 | $1,686 |
| Sarah Bush Lincoln Health CenterMattoon | 688 | $7,451 | $2,179 | $1,732 |
| Proctor HospitalPeoria | 566 | $21,354 | $2,148 | $1,707 |
| Saint Joseph HospitalChicago | 481 | $12,458 | $2,263 | $1,802 |
| University of Illinois Hospital and ClinicsChicago | 465 | $14,787 | $2,244 | $1,782 |
| Cgh Medical CenterSterling | 463 | $12,475 | $2,139 | $1,700 |
| Advocate Illinois Masonic Medical CenterChicago | 463 | $11,077 | $2,182 | $1,729 |
| Lake Forest HospitalLake Forest | 458 | $19,899 | $2,199 | $1,752 |
| The University of Chicago Medical CenterChicago | 411 | $24,954 | $2,249 | $1,788 |
| Sherman HospitalElgin | 402 | $10,060 | $2,267 | $1,805 |
| Advocate Trinity HospitalChicago | 389 | $15,047 | $2,173 | $1,720 |
| Javon Bea HospitalRockford | 371 | $14,662 | $2,131 | $1,691 |
| OSF Saint Elizabeth Mdl CtrOttawa | 342 | $13,985 | $2,261 | $1,800 |
| Delnor Community HospitalGeneva | 319 | $17,205 | $2,255 | $1,792 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 296 | $7,563 | $2,254 | $1,792 |
| Adventist la Grange Memorial HospitalLa Grange | 291 | $11,530 | $2,213 | $1,761 |
| St Marys HospitalDecatur | 281 | $11,091 | $2,117 | $1,677 |
| St Anthonys Memorial HospitalEffingham | 273 | $5,917 | $2,286 | $1,818 |
| Loyola University Medical CenterMaywood | 254 | $9,148 | $2,238 | $1,777 |
| St Alexius Medical CenterSchaumburg | 251 | $13,070 | $2,252 | $1,788 |
| Jersey Community HospitalJerseyville | 245 | $7,284 | $2,154 | $1,715 |
| OSF Sacred Heart Medical CenterDanville | 245 | $19,041 | $2,112 | $1,673 |
| Mc Donough District HospitalMacomb | 241 | $10,572 | $2,307 | $1,838 |
| Holy Family Medical CenterDes Plaines | 226 | $13,994 | $2,183 | $1,720 |
| Rush University Medical CenterChicago | 225 | $18,989 | $2,250 | $1,790 |
| Copley Memorial HospitalAurora | 220 | $20,386 | $2,259 | $1,792 |
| Trinity Rock IslandRock Island | 204 | $8,977 | $2,128 | $1,690 |
| Macneal HospitalBerwyn | 192 | $12,970 | $2,210 | $1,748 |
| Adventist GlenoaksGlendale Heights | 187 | $13,640 | $2,207 | $1,758 |
| Fhn Memorial HospitalFreeport | 186 | $14,051 | $2,036 | $1,614 |
| West Suburban Hosp Med CenterOak Park | 173 | $16,802 | $2,170 | $1,726 |
| Carle Foundation HospitalUrbana | 170 | $8,033 | $853 | $678 |
| Northwestern Medicine McHenryMcHenry | 165 | $14,521 | $2,170 | $1,719 |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | 149 | $13,044 | $2,189 | $1,735 |
| Vista Medical Center EastWaukegan | 127 | $22,845 | $2,199 | $1,752 |
| Pekin Memorial HospitalPekin | 124 | $20,792 | $2,154 | $1,713 |
| Provena St Marys HospitalKankakee | 124 | $15,607 | $2,192 | $1,745 |
| Saint Anthony's Health CenterAlton | 113 | $11,312 | $2,154 | $1,716 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 112 | $13,330 | $2,213 | $1,758 |
| Rush Oak Park HospitalOak Park | 111 | $16,390 | $2,197 | $1,744 |
| HSHS Holy Family HospitalGreenville | 110 | $8,401 | $2,154 | $1,716 |
| Harrisburg Medical CenterHarrisburg | 109 | $17,283 | $2,173 | $1,703 |
| OSF Heart of Mary Medical CenterUrbana | 104 | $21,190 | $2,137 | $1,699 |
| Central Dupage HospitalWinfield | 100 | $30,489 | $2,177 | $1,728 |
| John H Stroger Jr HospitalChicago | 98 | $11,828 | $2,197 | $1,742 |
| Thorek Memorial HospitalChicago | 97 | $11,894 | $2,213 | $1,738 |
| Swedish Covenant HospitalChicago | 92 | $15,579 | $2,212 | $1,762 |
| Saint Anthony Medical CenterRockford | 92 | $11,403 | $2,267 | $1,804 |
| Provident Hospital of ChicagoChicago | 92 | $8,497 | $2,213 | $1,755 |
| St Josephs HospitalBreese | 90 | $7,977 | $2,154 | $1,716 |
| Decatur Memorial HospitalDecatur | 71 | $12,842 | $2,154 | $1,716 |
| Mt Sinai Hospital Medical CenterChicago | 53 | $17,986 | $2,183 | $1,726 |
| Provena - Saint Joseph HospitalElgin | 51 | $21,812 | $2,276 | $1,812 |
| Silver Cross HospitalJoliet | 47 | $8,552 | $2,213 | $1,760 |
| Louis a Weiss Memorial HospitalChicago | 44 | $31,188 | $2,213 | $1,759 |
| Humboldt Park HealthChicago | 40 | $14,454 | $2,170 | $1,729 |
| Carle Richland Memorial HospitalOlney | 35 | $6,557 | $2,307 | $1,835 |
| OSF Saint James HospitalPontiac | 32 | $9,653 | $2,230 | $1,753 |
| Adventist Bolingbrook HospitalBolingbrook | 32 | $10,772 | $2,108 | $1,653 |
| Edward HospitalNaperville | 29 | $18,169 | $2,152 | $1,702 |
| Methodist Hospital of ChicagoChicago | 21 | $5,557 | $2,212 | $1,763 |
| Palos Community HospitalPalos Heights | 20 | $16,037 | $2,212 | $1,763 |
| Saint Anthony HospitalChicago | 19 | $10,267 | $2,213 | $1,748 |
| Blessing HospitalQuincy | 16 | $11,096 | $2,307 | $1,838 |
| OSF Saint Katharine Medical CenterDixon | 14 | $16,121 | $2,154 | $1,716 |
| Advocate Lutheran General HospitalPark Ridge | 14 | $18,131 | $2,213 | $1,752 |
| Loretto HospitalChicago | 12 | $8,674 | $2,212 | $1,763 |
| Provena St Joseph Medical CenterJoliet | – | – | – | – |
| Touchette Regional HospitalEast St Louis | – | – | – | – |
| Memorial Medical CenterSpringfield | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | – | – | – | – |
| Jackson Park HospitalChicago | – | – | – | – |
| Little Company of Mary HospitalEvergreen Park | – | – | – | – |
| Elmhurst Memorial HospitalElmhurst | – | – | – | – |
| Children's Memorial HospitalChicago | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Carle Foundation HospitalUrbana, IL | $853 |
|---|---|
| Fhn Memorial HospitalFreeport, IL | $2,036 |
| Adventist Bolingbrook HospitalBolingbrook, IL | $2,108 |
| OSF Sacred Heart Medical CenterDanville, IL | $2,112 |
| St Marys HospitalDecatur, IL | $2,117 |
Highest
| Carle Richland Memorial HospitalOlney, IL | $2,307 |
|---|---|
| Blessing HospitalQuincy, IL | $2,307 |
| Mc Donough District HospitalMacomb, IL | $2,307 |
| St Anthonys Memorial HospitalEffingham, IL | $2,286 |
| Provena - Saint Joseph HospitalElgin, IL | $2,276 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Illinois?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 80 hospitals in Illinois was billed at $14,913 on average, while the average medicare-allowed amount was $2,182, of which Medicare paid $1,734. 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 Illinois, average charges were 6.8 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.