Level 1 Intraocular Procedures in Iowa
What 18 hospitals in Iowa charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$9,485
Hospital list price billed
Average allowed
$2,033
Medicare's payment + patient's share
Medicare paid
$1,616
Average per service
State rank
#18 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $9,485 for level 1 intraocular procedures, about 4.7 times the average medicare-allowed amount of $2,033. That payment is 8% 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 $2,033Billed $9,485
About 21¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 1 intraocular procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 845 | $11,855 | $2,054 | $1,631 |
| Mary Greeley Medical CenterAmes | 646 | $9,892 | $1,994 | $1,585 |
| The Finley HospitalDubuque | 615 | $9,809 | $1,978 | $1,572 |
| Trinity Regional Medical CenterFort Dodge | 529 | $9,409 | $2,125 | $1,689 |
| Spencer Municipal HospitalSpencer | 514 | $6,890 | $1,984 | $1,578 |
| Marshalltown Medical & Surgical CenterMarshalltown | 483 | $9,135 | $2,135 | $1,696 |
| Iowa Methodist Medical CenterDes Moines | 465 | $6,657 | $1,989 | $1,581 |
| Sartori Memorial HospitalCedar Falls | 462 | $12,695 | $1,985 | $1,576 |
| Lakes Regional HealthcareSpirit Lake | 251 | $5,040 | $1,993 | $1,587 |
| Alegent Health Mercy HospitalCouncil Bluffs | 223 | $14,303 | $2,070 | $1,643 |
| Southeast Iowa Regional Medical CenterWest Burlington | 156 | $6,548 | $2,152 | $1,714 |
| Mercy Medical Center-ClintonClinton | 102 | $10,872 | $2,068 | $1,634 |
| Broadlawns Medical CenterDes Moines | 91 | $7,220 | $1,965 | $1,557 |
| Genesis Medical Center-DavenportDavenport | 90 | $4,859 | $2,010 | $1,600 |
| Mercyone Newton Medical CenterNewton | 79 | $6,970 | $1,980 | $1,573 |
| Mercyone Waterloo Medical CenterWaterloo | 75 | $12,134 | $1,994 | $1,585 |
| St Anthony Regional Hospital & Nursing HomeCarroll | 42 | $8,224 | $2,135 | $1,694 |
| Mercy Medical Center-DubuqueDubuque | 39 | $8,051 | $2,125 | $1,690 |
Lowest and highest allowed amounts in Iowa
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
| Broadlawns Medical CenterDes Moines, IA | $1,965 |
|---|---|
| The Finley HospitalDubuque, IA | $1,978 |
| Mercyone Newton Medical CenterNewton, IA | $1,980 |
| Spencer Municipal HospitalSpencer, IA | $1,984 |
| Sartori Memorial HospitalCedar Falls, IA | $1,985 |
Highest
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $2,152 |
|---|---|
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $2,135 |
| St Anthony Regional Hospital & Nursing HomeCarroll, IA | $2,135 |
| Trinity Regional Medical CenterFort Dodge, IA | $2,125 |
| Mercy Medical Center-DubuqueDubuque, IA | $2,125 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Iowa?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 18 hospitals in Iowa was billed at $9,485 on average, while the average medicare-allowed amount was $2,033, of which Medicare paid $1,616. 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 Iowa, average charges were 4.7 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.