Level 1 Intraocular Procedures in Massachusetts
What 25 hospitals in Massachusetts charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$7,173
Hospital list price billed
Average allowed
$2,488
Medicare's payment + patient's share
Medicare paid
$1,978
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $7,173 for level 1 intraocular procedures, about 2.9 times the average medicare-allowed amount of $2,488. That payment is 13% above 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 $2,488Billed $7,173
About 35¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 1 intraocular procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston | 3,528 | $6,200 | $2,489 | $1,979 |
| Lahey Clinic HospitalBurlington | 1,526 | $4,319 | $2,499 | $1,990 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 526 | $7,665 | $2,473 | $1,959 |
| Umass Memorial Medical Center INCWorcester | 480 | $13,242 | $2,470 | $1,960 |
| Tufts Medical CenterBoston | 268 | $7,310 | $2,488 | $1,977 |
| Harrington Memorial HospitalSouthbridge | 215 | $15,759 | $2,457 | $1,948 |
| Boston Medical Center CorporationBoston | 183 | $8,519 | $2,492 | $1,983 |
| Holyoke Medical CenterHolyoke | 167 | $7,705 | $2,495 | $1,986 |
| Beth Israel Deaconess Medical CenterBoston | 160 | $7,284 | $2,503 | $1,993 |
| Beverly Hospital CorporationBeverly | 152 | $6,333 | $2,503 | $1,994 |
| Metrowest Medical CenterFramingham | 130 | $22,597 | $2,489 | $1,973 |
| Lowell General HospitalLowell | 120 | $6,026 | $2,486 | $1,976 |
| Cambridge Health AllianceCambridge | 113 | $4,987 | $2,485 | $1,974 |
| Newton-Wellesley HospitalNewton Lower Falls | 95 | $9,970 | $2,503 | $1,992 |
| Nashoba Valley Medical CenterAyer | 64 | $11,756 | $2,503 | $1,989 |
| Sturdy Memorial HospitalAttleboro | 53 | $4,882 | $2,503 | $1,988 |
| Marlborough HospitalMarlborough | 48 | $15,291 | $2,503 | $1,992 |
| Mount Auburn HospitalCambridge | 47 | $4,572 | $2,418 | $1,906 |
| Baystate Franklin Medical CenterGreenfield | 44 | $5,001 | $2,503 | $1,992 |
| Baystate Medical CenterSpringfield | 39 | $6,940 | $2,452 | $1,943 |
| Healthalliance Hospitals, INCLeominster | 32 | $16,711 | $2,378 | $1,869 |
| Southcoast Hospital Group, INCFall River | 27 | $6,543 | $2,503 | $1,994 |
| Wing Memorial Hospital and Medical CenterPalmer | – | – | – | – |
| New England Baptist HospitalBoston | – | – | – | – |
| South Shore HospitalSouth Weymouth | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Healthalliance Hospitals, INCLeominster, MA | $2,378 |
|---|---|
| Mount Auburn HospitalCambridge, MA | $2,418 |
| Baystate Medical CenterSpringfield, MA | $2,452 |
| Harrington Memorial HospitalSouthbridge, MA | $2,457 |
| Umass Memorial Medical Center INCWorcester, MA | $2,470 |
Highest
| Sturdy Memorial HospitalAttleboro, MA | $2,503 |
|---|---|
| Nashoba Valley Medical CenterAyer, MA | $2,503 |
| Baystate Franklin Medical CenterGreenfield, MA | $2,503 |
| Marlborough HospitalMarlborough, MA | $2,503 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $2,503 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Massachusetts?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 25 hospitals in Massachusetts was billed at $7,173 on average, while the average medicare-allowed amount was $2,488, of which Medicare paid $1,978. 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 Massachusetts, average charges were 2.9 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.