Level 1 Intraocular Procedures in New Jersey
What 26 hospitals in New Jersey charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$20,078
Hospital list price billed
Average allowed
$2,551
Medicare's payment + patient's share
Medicare paid
$2,027
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $20,078 for level 1 intraocular procedures, about 7.9 times the average medicare-allowed amount of $2,551. That payment is 16% 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 $2,551Billed $20,078
About 13¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 1 intraocular procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Valley HospitalRidgewood | 778 | $19,847 | $2,652 | $2,112 |
| Holy Name Medical CenterTeaneck | 360 | $11,183 | $2,652 | $2,111 |
| Riverview Medical CenterRed Bank | 323 | $11,328 | $2,464 | $1,959 |
| Warren HospitalPhillipsburg | 249 | $21,138 | $2,418 | $1,918 |
| Englewood Hospital and Medical CenterEnglewood | 240 | $38,750 | $2,634 | $2,085 |
| Jfk Medical CenterEdison | 227 | $12,420 | $2,464 | $1,957 |
| Clara Maass Medical CenterBelleville | 154 | $12,394 | $2,387 | $1,878 |
| Capital Health System-Mercer CampusTrenton | 97 | $49,562 | $2,440 | $1,943 |
| Robert Wood Johnson University Hospital at RahwayRahway | 62 | $19,809 | $2,440 | $1,944 |
| Umdnj University HospitalNewark | 61 | $18,166 | $2,623 | $2,081 |
| Saint Michael's Medical CenterNewark | 56 | $36,328 | $2,503 | $1,993 |
| Trinitas HospitalElizabeth | 42 | $22,186 | $2,440 | $1,930 |
| Saint Clare's HospitalDenville | 40 | $36,379 | $2,623 | $2,090 |
| St Joseph's Regional Medical CenterPaterson | 34 | $18,606 | $2,652 | $2,113 |
| Hackensack University Medical CenterHackensack | 32 | $16,231 | $2,586 | $2,047 |
| Community Medical CenterToms River | 24 | $13,390 | $2,440 | $1,944 |
| St Mary's HospitalPassaic | 22 | $37,166 | $2,468 | $1,921 |
| Shore Memorial HospitalSomers Point | 20 | $26,896 | $1,977 | $1,546 |
| Jersey City Medical CenterJersey City | 16 | $12,747 | $2,652 | $2,095 |
| Jefferson Stratford HospitalCherry Hill | 12 | $15,622 | $2,440 | $1,944 |
| Cooper University HospitalCamden | – | – | – | – |
| Our Lady of Lourdes Medical CenterCamden | – | – | – | – |
| Robert Wood Johnson University HospitalNew Brunswick | – | – | – | – |
| Bergen Regional Medical CenterParamus | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Monmouth Medical Center-Southern CampusLakewood | – | – | – | – |
Lowest and highest allowed amounts in New Jersey
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
| Shore Memorial HospitalSomers Point, NJ | $1,977 |
|---|---|
| Clara Maass Medical CenterBelleville, NJ | $2,387 |
| Warren HospitalPhillipsburg, NJ | $2,418 |
| Robert Wood Johnson University Hospital at RahwayRahway, NJ | $2,440 |
| Community Medical CenterToms River, NJ | $2,440 |
Highest
| Jersey City Medical CenterJersey City, NJ | $2,652 |
|---|---|
| Holy Name Medical CenterTeaneck, NJ | $2,652 |
| Valley HospitalRidgewood, NJ | $2,652 |
| St Joseph's Regional Medical CenterPaterson, NJ | $2,652 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $2,634 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in New Jersey?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 26 hospitals in New Jersey was billed at $20,078 on average, while the average medicare-allowed amount was $2,551, of which Medicare paid $2,027. 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 New Jersey, average charges were 7.9 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.