Level 1 Intraocular Procedures in Indiana
What 39 hospitals in Indiana charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$14,590
Hospital list price billed
Average allowed
$2,093
Medicare's payment + patient's share
Medicare paid
$1,662
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $14,590 for level 1 intraocular procedures, about 7.0 times the average medicare-allowed amount of $2,093. That payment is 5% 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 $2,093Billed $14,590
About 14¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 1 intraocular procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Mary's Medical Center of Evansville INCEvansville | 912 | $17,350 | $2,072 | $1,647 |
| Union Hospital INCTerre Haute | 910 | $6,138 | $2,091 | $1,662 |
| Porter, Valparaiso HospitalValparaiso | 793 | $16,932 | $2,070 | $1,647 |
| St Mary Medical Center INCHobart | 704 | $16,476 | $2,135 | $1,687 |
| La Porte Regional Health SystLa Porte | 566 | $25,244 | $2,068 | $1,646 |
| Memorial Hospital and Health Care CenterJasper | 361 | $11,405 | $2,034 | $1,609 |
| Franciscan Physicians Hospital LLCMunster | 307 | $16,135 | $2,170 | $1,723 |
| Community HospitalMunster | 281 | $13,940 | $2,185 | $1,740 |
| Good Samaritan HospitalVincennes | 254 | $6,101 | $2,050 | $1,624 |
| Franciscan St Anthony Health - Crown PointCrown Point | 229 | $13,416 | $2,118 | $1,682 |
| Hendricks Regional HealthDanville | 225 | $14,315 | $2,097 | $1,669 |
| Indiana University Health Arnett HospitalLafayette | 198 | $16,774 | $2,078 | $1,652 |
| Schneck Medical CenterSeymour | 164 | $4,893 | $2,094 | $1,655 |
| Saint John's Health SystemAnderson | 145 | $14,721 | $2,105 | $1,674 |
| Franciscan Health CrawfordsvilleCrawfordsville | 117 | $18,090 | $2,105 | $1,677 |
| Community Hospital of Anderson and Madison CountyAnderson | 117 | $15,472 | $2,064 | $1,634 |
| Bluffton Regional Medical CenterBluffton | 105 | $25,196 | $2,020 | $1,596 |
| Eskenazi HealthIndianapolis | 86 | $16,043 | $2,105 | $1,673 |
| Dearborn County HospitalLawrenceburg | 86 | $9,733 | $2,058 | $1,636 |
| Columbus Regional HospitalColumbus | 83 | $6,522 | $2,144 | $1,707 |
| Deaconess Hospital INCEvansville | 81 | $10,331 | $2,057 | $1,634 |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | 73 | $11,674 | $2,081 | $1,644 |
| Memorial HospitalLogansport | 66 | $9,352 | $2,225 | $1,773 |
| Dupont Hospital LLCFort Wayne | 63 | $25,349 | $2,116 | $1,680 |
| Unity Medical and Surgical HospitalMishawaka | 41 | $8,148 | $2,103 | $1,676 |
| Parkview HospitalFort Wayne | 39 | $12,445 | $2,152 | $1,713 |
| Methodist Hospitals, INCGary | 35 | $21,060 | $2,142 | $1,694 |
| Riverview HospitalNoblesville | 35 | $8,106 | $2,105 | $1,674 |
| Starke Memorial HospitalKnox | 28 | $24,387 | $2,018 | $1,596 |
| King's Daughters' Hospital and Health Services,TheMadison | 13 | $8,987 | $2,225 | $1,753 |
| Lutheran Hospital of IndianaFort Wayne | 11 | $28,132 | $2,020 | $1,594 |
| St Catherine Hospital INCEast Chicago | – | – | – | – |
| Saint Joseph Reg Medical CtrSouth Bend | – | – | – | – |
| St Joseph HospitalFort Wayne | – | – | – | – |
| Clarian Health PartnersIndianapolis | – | – | – | – |
| St Vincent Hospital & Health ServicesIndianapolis | – | – | – | – |
| St Vincent Carmel Hospital INCCarmel | – | – | – | – |
| Franciscan Health IndianapolisIndianapolis | – | – | – | – |
| Physicians' Medical Center LLCNew Albany | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| Starke Memorial HospitalKnox, IN | $2,018 |
|---|---|
| Bluffton Regional Medical CenterBluffton, IN | $2,020 |
| Lutheran Hospital of IndianaFort Wayne, IN | $2,020 |
| Memorial Hospital and Health Care CenterJasper, IN | $2,034 |
| Good Samaritan HospitalVincennes, IN | $2,050 |
Highest
| King's Daughters' Hospital and Health Services,TheMadison, IN | $2,225 |
|---|---|
| Memorial HospitalLogansport, IN | $2,225 |
| Community HospitalMunster, IN | $2,185 |
| Franciscan Physicians Hospital LLCMunster, IN | $2,170 |
| Parkview HospitalFort Wayne, IN | $2,152 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Indiana?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 39 hospitals in Indiana was billed at $14,590 on average, while the average medicare-allowed amount was $2,093, of which Medicare paid $1,662. 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 Indiana, average charges were 7.0 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.