Level 1 Intraocular Procedures in Kentucky
What 30 hospitals in Kentucky charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$11,093
Hospital list price billed
Average allowed
$1,995
Medicare's payment + patient's share
Medicare paid
$1,583
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $11,093 for level 1 intraocular procedures, about 5.6 times the average medicare-allowed amount of $1,995. That payment is 10% 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 $1,995Billed $11,093
About 18¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 1 intraocular procedures
Every Kentucky 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 Elizabeth Med Center-SouthEdgewood | 845 | $8,411 | $1,965 | $1,556 |
| Baptist Health RichmondRichmond | 387 | $15,380 | $1,985 | $1,575 |
| Ephraim McDowell Regional Medical CenterDanville | 368 | $10,929 | $1,971 | $1,563 |
| Pikeville Medical CenterPikeville | 299 | $8,748 | $2,085 | $1,655 |
| Jennie Stuart Medical CenterHopkinsville | 218 | $6,319 | $2,036 | $1,611 |
| Murray-Calloway County HospitalMurray | 192 | $9,094 | $1,947 | $1,549 |
| Paintsville Arh HospitalPaintsville | 192 | $11,028 | $1,960 | $1,557 |
| Muhlenberg Community HospitalGreenville | 188 | $13,606 | $1,947 | $1,547 |
| St Claire Regional Medical CenterMorehead | 187 | $10,096 | $2,148 | $1,711 |
| Georgetown Community HospitalGeorgetown | 183 | $17,644 | $2,004 | $1,592 |
| Saint Joseph Mount SterlingMt Sterling | 169 | $5,342 | $1,983 | $1,578 |
| Jewish HospitalLouisville | 166 | $12,908 | $1,988 | $1,579 |
| Meadowview Regional Medical CenterMaysville | 164 | $12,377 | $2,084 | $1,658 |
| University of Louisville HospitalLouisville | 141 | $14,503 | $1,996 | $1,587 |
| University of Kentucky HospLexington | 134 | $13,141 | $1,982 | $1,567 |
| Clark Regional Medical CenterWinchester | 101 | $11,743 | $1,986 | $1,576 |
| Taylor Regional HospitalCampbellsville | 95 | $9,353 | $1,955 | $1,556 |
| Hazard Arh Regional Medical CenterHazard | 85 | $17,184 | $1,987 | $1,571 |
| Spring View HospitalLebanon | 59 | $14,118 | $1,928 | $1,528 |
| Kentucky River Medical CenterJackson | 56 | $21,544 | $2,094 | $1,668 |
| Harrison Memorial HospitalCynthiana | 49 | $5,094 | $1,955 | $1,558 |
| St Elizabeth Ft ThomasFort Thomas | 44 | $9,720 | $1,990 | $1,574 |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | 41 | $12,825 | $1,955 | $1,555 |
| Williamson Arh HospitalSouth Williamson | 37 | $14,287 | $1,934 | $1,525 |
| Harlan Appalachian Regional Healthcare HospitalHarlan | 27 | $12,165 | $2,094 | $1,668 |
| The Medical Center at RussellvilleRussellville | 25 | $9,628 | $1,955 | $1,552 |
| Whitesburg Arh HospitalWhitesburg | 24 | $13,022 | $1,959 | $1,529 |
| King's Daughters' Medical CenterAshland | 19 | $12,726 | $1,819 | $1,406 |
| Jewish Hospital - ShelbyvilleShelbyville | 17 | $7,583 | $2,008 | $1,591 |
| Norton Healthcare PavilionLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| King's Daughters' Medical CenterAshland, KY | $1,819 |
|---|---|
| Spring View HospitalLebanon, KY | $1,928 |
| Williamson Arh HospitalSouth Williamson, KY | $1,934 |
| Muhlenberg Community HospitalGreenville, KY | $1,947 |
| Murray-Calloway County HospitalMurray, KY | $1,947 |
Highest
| St Claire Regional Medical CenterMorehead, KY | $2,148 |
|---|---|
| Harlan Appalachian Regional Healthcare HospitalHarlan, KY | $2,094 |
| Kentucky River Medical CenterJackson, KY | $2,094 |
| Pikeville Medical CenterPikeville, KY | $2,085 |
| Meadowview Regional Medical CenterMaysville, KY | $2,084 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Kentucky?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 30 hospitals in Kentucky was billed at $11,093 on average, while the average medicare-allowed amount was $1,995, of which Medicare paid $1,583. 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 Kentucky, average charges were 5.6 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.