Level 1 Intraocular Procedures in Minnesota
What 31 hospitals in Minnesota charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$9,693
Hospital list price billed
Average allowed
$2,279
Medicare's payment + patient's share
Medicare paid
$1,811
Average per service
State rank
#36 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $9,693 for level 1 intraocular procedures, about 4.3 times the average medicare-allowed amount of $2,279. That payment is 3% 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 $2,279Billed $9,693
About 24¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 1 intraocular procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 1,732 | $10,722 | $2,376 | $1,888 |
| Park Nicollet Methodist HospitalSaint Louis Park | 757 | $12,139 | $2,193 | $1,740 |
| Sanford Bemidji Medical CenterBemidji | 623 | $9,533 | $2,323 | $1,850 |
| St Lukes HospitalDuluth | 607 | $6,382 | $2,188 | $1,739 |
| Regions HospitalSt Paul | 455 | $8,268 | $2,208 | $1,755 |
| Mayo Clinic Health System - MankatoMankato | 445 | $7,062 | $2,377 | $1,889 |
| Buffalo HospitalBuffalo | 306 | $8,909 | $2,210 | $1,756 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 275 | $11,900 | $2,325 | $1,846 |
| Olmsted Medical CenterRochester | 264 | $7,883 | $2,235 | $1,779 |
| Abbott Northwestern Hospital INCMinneapolis | 217 | $9,948 | $2,203 | $1,748 |
| United HospitalSt Paul | 154 | $8,568 | $2,216 | $1,762 |
| Range Regional Health ServicesHibbing | 139 | $11,753 | $2,144 | $1,701 |
| Lake Region Healthcare CorporationFergus Falls | 130 | $11,714 | $2,323 | $1,851 |
| Cambridge Medical CenterCambridge | 129 | $9,258 | $2,228 | $1,773 |
| Fairview Northland Regional HospitalPrinceton | 97 | $12,001 | $2,191 | $1,736 |
| Sanford Worthington Medical CenterWorthington | 95 | $8,512 | $2,323 | $1,851 |
| Winona Health ServicesWinona | 69 | $3,976 | $2,323 | $1,851 |
| St Marys Regional Health CenterDetroit Lakes | 62 | $7,271 | $2,323 | $1,849 |
| Hennepin County Medical CenterMinneapolis | 49 | $16,986 | $2,228 | $1,766 |
| Fairview Red Wing HospitalRed Wing | 44 | $8,567 | $2,091 | $1,640 |
| Owatonna HospitalOwatonna | 42 | $11,253 | $2,211 | $1,761 |
| Lakeview Memorial HospitalStillwater | 39 | $7,229 | $2,228 | $1,775 |
| Virginia Regional Medical CenterVirginia | 33 | $6,599 | $2,169 | $1,726 |
| University of Minnesota Medical Center, FairviewMinneapolis | 28 | $15,781 | $2,191 | $1,746 |
| Northfield HospitalNorthfield | 26 | $9,309 | $2,228 | $1,755 |
| Fairmont Medical CenterFairmont | 15 | $12,501 | $2,389 | $1,903 |
| St Cloud HospitalSt Cloud | 12 | $12,708 | $2,368 | $1,886 |
| Essentia Health St Mary's Medical CenterDuluth | 11 | $14,168 | $2,211 | $1,761 |
| Essentia Health DuluthDuluth | – | – | – | – |
| Fairview Lakes Health ServicesWyoming | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Fairview Red Wing HospitalRed Wing, MN | $2,091 |
|---|---|
| Range Regional Health ServicesHibbing, MN | $2,144 |
| Virginia Regional Medical CenterVirginia, MN | $2,169 |
| St Lukes HospitalDuluth, MN | $2,188 |
| Fairview Northland Regional HospitalPrinceton, MN | $2,191 |
Highest
| Fairmont Medical CenterFairmont, MN | $2,389 |
|---|---|
| Mayo Clinic Health System - MankatoMankato, MN | $2,377 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $2,376 |
| St Cloud HospitalSt Cloud, MN | $2,368 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea, MN | $2,325 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Minnesota?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 31 hospitals in Minnesota was billed at $9,693 on average, while the average medicare-allowed amount was $2,279, of which Medicare paid $1,811. 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 Minnesota, average charges were 4.3 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.