Level 1 Intraocular Procedures in Michigan
What 59 hospitals in Michigan charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$11,958
Hospital list price billed
Average allowed
$2,051
Medicare's payment + patient's share
Medicare paid
$1,629
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Michigan billed an average of $11,958 for level 1 intraocular procedures, about 5.8 times the average medicare-allowed amount of $2,051. That payment is 7% 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 $2,051Billed $11,958
About 17¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 1 intraocular procedures
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Univ of Michigan HospitalsAnn Arbor | 1,412 | $22,808 | $2,148 | $1,710 |
| Henry Ford HospitalDetroit | 1,070 | $8,783 | $1,691 | $1,343 |
| Straith Hospital for Special SurgerySouthfield | 326 | $5,080 | $2,042 | $1,623 |
| Promedica Charles and Virginia Hickman HospitalAdrian | 301 | $14,096 | $2,147 | $1,707 |
| University of Michigan Health - WestWyoming | 280 | $5,265 | $1,992 | $1,574 |
| Otsego Memorial HospitalGaylord | 250 | $7,142 | $2,154 | $1,711 |
| Alpena Regional Medical CenterAlpena | 238 | $6,913 | $2,188 | $1,742 |
| Forest Health Medical CenterYpsilanti | 233 | $10,470 | $2,149 | $1,712 |
| Corewell Health Big Rapids HospitalBig Rapids | 209 | $8,247 | $2,165 | $1,717 |
| St Joseph Health SystemTawas City | 196 | $5,914 | $2,179 | $1,731 |
| Henry Ford Wyandotte HospitalWyandotte | 195 | $9,450 | $2,047 | $1,623 |
| Saint Joseph Mercy Livingston HospitalHowell | 193 | $13,079 | $2,093 | $1,661 |
| West Branch Regional Medical CenterWest Branch | 193 | $5,471 | $2,156 | $1,714 |
| Chippewa County War Memorial HospitalSault Sainte Marie | 191 | $6,405 | $2,124 | $1,680 |
| Corewell Health Ludington HospitalLudington | 184 | $9,034 | $2,188 | $1,737 |
| Bronson Methodist HospitalKalamazoo | 183 | $7,175 | $2,021 | $1,605 |
| Mercy Hospital - CadillacCadillac | 177 | $9,378 | $2,165 | $1,722 |
| Mercy Hospital - GraylingGrayling | 170 | $9,037 | $2,174 | $1,732 |
| William Beaumont HospitalRoyal Oak | 163 | $19,023 | $1,983 | $1,553 |
| St John Hospital and Medical CenterDetroit | 163 | $12,584 | $2,071 | $1,647 |
| Holland Community HospitalHolland | 148 | $6,720 | $2,009 | $1,597 |
| Providence Hospital and Medical CentersSouthfield | 147 | $16,083 | $2,081 | $1,657 |
| Memorial HealthcareOwosso | 131 | $16,238 | $2,040 | $1,625 |
| Northern Michigan Regional HospitalPetoskey | 121 | $6,422 | $2,159 | $1,715 |
| Midmichigan Medical Center-ClareClare | 118 | $6,772 | $2,030 | $1,618 |
| Harper University HospitalDetroit | 111 | $29,738 | $1,991 | $1,568 |
| Oaklawn HospitalMarshall | 111 | $11,621 | $2,033 | $1,619 |
| William Beaumont Hospital-TroyTroy | 108 | $15,803 | $2,031 | $1,609 |
| Corewell Health Trenton HospitalTrenton | 107 | $18,857 | $2,035 | $1,618 |
| Sturgis HospitalSturgis | 99 | $5,286 | $2,192 | $1,760 |
| Munson Healthcare Manistee HospitalManistee | 92 | $6,428 | $2,197 | $1,750 |
| McLaren MacombMt Clemens | 78 | $9,444 | $2,010 | $1,593 |
| Lapeer Regional Medical CenterLapeer | 71 | $5,507 | $2,030 | $1,603 |
| Beaumont Hospital - TaylorTaylor | 67 | $18,245 | $2,026 | $1,606 |
| Bay Regional Medical CenterBay City | 63 | $4,402 | $2,053 | $1,628 |
| Mymichigan Medical Center AlmaAlma | 62 | $7,574 | $2,040 | $1,625 |
| Henry Ford Health Warren HospitalWarren | 52 | $14,137 | $2,030 | $1,618 |
| Insight Hospital and Medical Center ColdwaterColdwater | 50 | $8,898 | $1,993 | $1,574 |
| Hillsdale Community Health CenterHillsdale | 47 | $5,716 | $2,030 | $1,618 |
| Garden City HospitalGarden City | 39 | $24,489 | $1,966 | $1,550 |
| Trinity Health Grand Haven HospitalGrand Haven | 37 | $6,426 | $2,030 | $1,618 |
| Huron Valley-Sinai HospitalCommerce Twp | 35 | $27,279 | $2,077 | $1,649 |
| Spectrum Health - Butterworth CampusGrand Rapids | 29 | $11,118 | $2,052 | $1,635 |
| Port Huron HospitalPort Huron | 29 | $6,290 | $2,052 | $1,635 |
| Central Michigan Community HospitalMt Pleasant | 19 | $6,933 | $2,043 | $1,621 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 17 | $9,081 | $2,081 | $1,658 |
| McLaren Regional Medical CenterFlint | 15 | $6,260 | $2,189 | $1,723 |
| Lakeland Hospital, St JosephSt Joseph | 14 | $9,822 | $2,031 | $1,618 |
| McLaren Greater LansingLansing | 14 | $6,560 | $1,962 | $1,540 |
| St Mary Mercy HospitalLivonia | 13 | $12,820 | $2,052 | $1,635 |
| St John River District HospitalEast China | 13 | $5,845 | $2,052 | $1,635 |
| Chelsea Community HospitalChelsea | 11 | $13,512 | $2,191 | $1,746 |
| Sinai-Grace HospitalDetroit | – | – | – | – |
| Dickinson County Memorial HospitalIron Mountain | – | – | – | – |
| Covenant Medical Center, INCSaginaw | – | – | – | – |
| Munson Medical CenterTraverse City | – | – | – | – |
| Borgess Medical CenterKalamazoo | – | – | – | – |
| Genesys Regional Medical Center - Health ParkGrand Blanc | – | – | – | – |
| Carson City HospitalCarson City | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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
| Henry Ford HospitalDetroit, MI | $1,691 |
|---|---|
| McLaren Greater LansingLansing, MI | $1,962 |
| Garden City HospitalGarden City, MI | $1,966 |
| William Beaumont HospitalRoyal Oak, MI | $1,983 |
| Harper University HospitalDetroit, MI | $1,991 |
Highest
| Munson Healthcare Manistee HospitalManistee, MI | $2,197 |
|---|---|
| Sturgis HospitalSturgis, MI | $2,192 |
| Chelsea Community HospitalChelsea, MI | $2,191 |
| McLaren Regional Medical CenterFlint, MI | $2,189 |
| Alpena Regional Medical CenterAlpena, MI | $2,188 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Michigan?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 59 hospitals in Michigan was billed at $11,958 on average, while the average medicare-allowed amount was $2,051, of which Medicare paid $1,629. 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 Michigan, average charges were 5.8 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.