Level 1 Intraocular Procedures in Missouri
What 32 hospitals in Missouri charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,641
Hospital list price billed
Average allowed
$1,956
Medicare's payment + patient's share
Medicare paid
$1,553
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $10,641 for level 1 intraocular procedures, about 5.4 times the average medicare-allowed amount of $1,956. That payment is 11% 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 $1,956Billed $10,641
About 18¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 1 intraocular procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Hospital SpringfieldSpringfield | 958 | $13,376 | $1,948 | $1,550 |
| Barnes Jewish HospitalSt Louis | 659 | $11,351 | $2,056 | $1,634 |
| Barnes-Jewish West County HospitalSt Louis | 429 | $10,506 | $813 | $643 |
| St Johns Hospital-LebanonLebanon | 413 | $4,800 | $2,073 | $1,647 |
| University Hospitals & ClinicsColumbia | 390 | $12,311 | $1,959 | $1,555 |
| Parkland Health CenterFarmington | 375 | $8,290 | $2,195 | $1,742 |
| St John's Mercy Medical CenterSt Louis | 292 | $8,862 | $2,032 | $1,610 |
| Lester E Cox Medical CentersSpringfield | 205 | $12,900 | $1,952 | $1,550 |
| Citizens Memorial HospitalBolivar | 181 | $9,558 | $2,099 | $1,671 |
| Truman Medical Center Hospital HillKansas City | 180 | $6,772 | $2,003 | $1,589 |
| Phelps County Regional Medical CenterRolla | 173 | $12,179 | $2,176 | $1,724 |
| Barnes-Jewish St Peters HospitalSt Peters | 171 | $9,488 | $2,045 | $1,619 |
| Lake Regional Health SystemOsage Beach | 164 | $5,238 | $2,090 | $1,652 |
| Missouri Delta Medical CenterSikeston | 152 | $8,931 | $2,212 | $1,747 |
| St Louis University HospitalSt Louis | 126 | $18,449 | $2,037 | $1,622 |
| St Johns Mercy HospitalWashington | 115 | $8,104 | $2,028 | $1,605 |
| Hannibal Regional HospitalHannibal | 110 | $10,671 | $2,221 | $1,770 |
| Golden Valley Memorial HospitalClinton | 90 | $11,286 | $2,180 | $1,733 |
| SSM St Joseph Health CenterSt Charles | 88 | $8,100 | $1,967 | $1,552 |
| SSM Depaul Health CenterBridgeton | 82 | $9,515 | $2,025 | $1,608 |
| Northeast Regional Medical CenterKirksville | 79 | $14,058 | $2,134 | $1,700 |
| Mosaic Medical Center - MaryvilleMaryville | 55 | $5,469 | $2,124 | $1,692 |
| Bates County Memorial HospitalButler | 53 | $17,119 | $2,180 | $1,737 |
| Moberly Regional Medical CenterMoberly | 30 | $31,099 | $2,112 | $1,682 |
| St Francis Medical CenterCape Girardeau | 23 | $21,297 | $2,132 | $1,699 |
| SSM St Joseph Hospital WestLake St Louis | 22 | $11,087 | $2,074 | $1,652 |
| St Lukes HospitalChesterfield | 20 | $10,764 | $1,991 | $1,570 |
| Texas County Memorial HospitalHouston | – | – | – | – |
| Boone Hospital CenterColumbia | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Cox Medical Center BransonBranson | – | – | – | – |
| St Lukes Hospital of Kansas CityKansas City | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Barnes-Jewish West County HospitalSt Louis, MO | $813 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $1,948 |
| Lester E Cox Medical CentersSpringfield, MO | $1,952 |
| University Hospitals & ClinicsColumbia, MO | $1,959 |
| SSM St Joseph Health CenterSt Charles, MO | $1,967 |
Highest
| Hannibal Regional HospitalHannibal, MO | $2,221 |
|---|---|
| Missouri Delta Medical CenterSikeston, MO | $2,212 |
| Parkland Health CenterFarmington, MO | $2,195 |
| Golden Valley Memorial HospitalClinton, MO | $2,180 |
| Bates County Memorial HospitalButler, MO | $2,180 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Missouri?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 32 hospitals in Missouri was billed at $10,641 on average, while the average medicare-allowed amount was $1,956, of which Medicare paid $1,553. 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 Missouri, average charges were 5.4 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.