What 89 hospitals in New York charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Hospitals in New York billed an average of $16,196 for level 1 intraocular procedures, about 6.3 times the average medicare-allowed amount of $2,571. 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.
About 16¢ was paid for every $1 hospitals in New York billed for this service.
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 2,406 | $19,019 | $2,634 | $2,095 |
| Lenox Hill HospitalNew York | 1,999 | $18,247 | $2,592 | $2,059 |
| Ny Eye and Ear InfirmaryNew York | 1,911 | $12,269 | $2,631 | $2,091 |
| NYU Hospitals CenterNew York | 1,763 | $37,012 | $2,615 | $2,082 |
| Staten Island University HospitalStaten Island | 990 | $14,573 | $2,573 | $2,034 |
| University HospitalStony Brook | 889 | $16,036 | $2,598 | $2,068 |
| Peconic Bay Medical CenterRiverhead | 886 | $14,300 | $2,363 | $1,834 |
| Strong Memorial HospitalRochester | 527 | $11,125 | $2,431 | $1,931 |
| Hudson Valley Hospital CenterCortlandt Manor | 482 | $14,654 | $2,621 | $2,081 |
| Cayuga Medical Center at IthacaIthaca | 415 | $3,680 | $2,631 | $2,093 |
| Garnet Health Medical CenterGoshen | 400 | $13,136 | $2,543 | $2,009 |
| Vassar Brothers Medical CenterPoughkeepsie | 392 | $9,222 | $2,505 | $1,971 |
| St Francis Hospital, RoslynRoslyn | 391 | $14,928 | $2,626 | $2,092 |
| Montefiore Medical CenterBronx | 387 | $25,441 | $2,614 | $2,080 |
| Corning HospitalCorning | 378 | $6,302 | $2,450 | $1,946 |
| St John's Riverside HospitalYonkers | 374 | $4,337 | $2,646 | $2,106 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 334 | $4,878 | $2,615 | $2,076 |
| Samaritan Medical CenterWatertown | 323 | $15,047 | $2,633 | $2,093 |
| Cortland Regional Medical Center, INCCortland | 310 | $7,679 | $2,633 | $2,094 |
| St Catherine of Siena HospitalSmithtown | 283 | $13,223 | $2,595 | $2,066 |
| Phelps Memorial Hospital AssnSleepy Hollow | 273 | $22,222 | $2,568 | $2,030 |
| Jones Memorial HospitalWellsville | 271 | $2,685 | $2,646 | $2,102 |
| Westchester Medical CenterValhalla | 229 | $37,365 | $2,628 | $2,086 |
| Geneva General HospitalGeneva | 221 | $3,369 | $2,463 | $1,959 |
| Columbia Memorial HospitalHudson | 216 | $8,614 | $2,471 | $1,968 |
| Olean General HospitalOlean | 208 | $4,375 | $2,646 | $2,104 |
| Canton-Potsdam HospitalPotsdam | 204 | $6,988 | $2,626 | $2,087 |
| Good Samaritan Hospital of SuffernSuffern | 196 | $43,080 | $2,631 | $2,089 |
| Nicholas H Noyes Memorial HospitalDansville | 192 | $4,980 | $2,450 | $1,948 |
| Nathan Littauer HospitalGloversville | 167 | $7,181 | $2,447 | $1,944 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 162 | $13,830 | $2,353 | $1,823 |
| Long Island Community HospitalPatchogue | 155 | $40,830 | $2,589 | $2,060 |
| Northern Dutchess HospitalRhinebeck | 154 | $7,473 | $2,542 | $2,008 |
| Saratoga HospitalSaratoga Springs | 133 | $11,761 | $2,427 | $1,924 |
| Claxton-Hepburn Medical CenterOgdensburg | 127 | $8,046 | $2,646 | $2,108 |
| Mount Sinai HospitalNew York | 124 | $12,969 | $2,619 | $2,077 |
| Putnam Hospital CenterCarmel | 123 | $10,054 | $2,490 | $1,951 |
| Glen Cove HospitalGlen Cove | 115 | $12,802 | $2,608 | $2,073 |
| South Nassau Communities HospitalOceanside | 113 | $20,322 | $2,626 | $2,089 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 106 | $14,270 | $2,652 | $2,109 |
| North Shore University HospitalManhasset | 100 | $17,499 | $2,593 | $2,060 |
| Crouse HospitalSyracuse | 97 | $8,766 | $2,471 | $1,966 |
| Brooks Memorial HospitalDunkirk | 95 | $4,402 | $2,646 | $2,107 |
| Auburn Memorial HospitalAuburn | 95 | $9,451 | $2,624 | $2,085 |
| United Health Services HospsBinghamton | 93 | $11,695 | $2,450 | $1,946 |
| Chenango Memorial Hospital, INCNorwich | 86 | $14,424 | $2,646 | $2,108 |
| New York Hospital Medical Center of QueensNew York | 75 | $18,183 | $2,652 | $2,113 |
| University Hospital S U N Y Health Science CenterSyracuse | 73 | $16,489 | $2,471 | $1,966 |
| White Plains Hospital CtrWhite Plains | 73 | $18,719 | $1,048 | $833 |
| Samaritan HospitalTroy | 61 | $6,066 | $2,471 | $1,961 |
| Mount St Mary's Hospital and Health CenterLewiston | 60 | $7,042 | $988 | $785 |
| St Anthony Community HospitalWarwick | 53 | $43,021 | $2,623 | $2,089 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 51 | $10,993 | $2,471 | $1,968 |
| Nassau University Medical CenterEast Meadow | 51 | $7,894 | $2,626 | $2,092 |
| St John's Episcopal Hospital at South ShoreFar Rockaway | 51 | $18,770 | $2,652 | $2,113 |
| Clifton Springs Hospital and ClinicClifton Springs | 49 | $8,292 | $2,471 | $1,968 |
| Bellevue Hospital CenterNew York | 48 | $8,752 | $2,612 | $2,070 |
| Brookdale Hospital Medical CenterBrooklyn | 47 | $12,543 | $2,652 | $2,106 |
| Flushing Hospital Medical CenterNew York | 46 | $6,322 | $2,652 | $2,113 |
| Queens Hospital CenterJamaica | 46 | $7,816 | $2,652 | $2,107 |
| University Hospital of Brooklyn ( Downstate )Brooklyn | 44 | $10,822 | $2,652 | $2,113 |
| Northern Westchester HospitalMt Kisco | 29 | $11,027 | $2,404 | $1,865 |
| Richmond University Medical CenterStaten Island | 28 | $22,324 | $2,652 | $2,106 |
| Elmhurst Hospital CenterNew York | 28 | $8,526 | $2,515 | $1,956 |
| Jacobi Medical CenterBronx | 27 | $8,071 | $2,525 | $1,982 |
| Albany Medical Center HospitalAlbany | 25 | $9,749 | $2,471 | $1,969 |
| Kings County Hospital CenterBrooklyn | 25 | $8,618 | $2,625 | $2,091 |
| Cornwall HospitalCornwall | 25 | $18,268 | $2,612 | $2,079 |
| Nyack HospitalNyack | 21 | $20,801 | $2,439 | $1,890 |
| F F Thompson HospitalCanandaigua | 16 | $4,075 | $2,471 | $1,969 |
| St Barnabas HospitalBronx | 16 | $10,986 | $2,652 | $2,113 |
| Metropolitan Hospital CenterNew York | 15 | $9,438 | $2,652 | $2,113 |
| South Brooklyn HealthBrooklyn | 14 | $8,582 | $2,652 | $2,113 |
| Harlem Hospital CenterNew York | 14 | $9,607 | $2,652 | $2,113 |
| Wyckoff Heights Medical CenterBrooklyn | 13 | $7,382 | $2,652 | $2,113 |
| Buffalo General HospitalBuffalo | – | – | – | – |
| Wyoming County Community HospitalWarsaw | – | – | – | – |
| Bronxcare Hospital CenterBronx | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| Lincoln Medical & Mental Health CenterBronx | – | – | – | – |
| Rochester General HospitalRochester | – | – | – | – |
| Mem Sloan-Kettering Cancer CtrNew York | – | – | – | – |
| Highland HospitalRochester | – | – | – | – |
| Long Island Jewish Medical CenterNew Hyde Park | – | – | – | – |
| Erie County Medical CenterBuffalo | – | – | – | – |
| Mercy Medical CenterRockville Centre | – | – | – | – |
| Good Samaritan Hospital Medical CenterWest Islip | – | – | – | – |
| Woodhull Medical and Mental Health CenterBrooklyn | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mount St Mary's Hospital and Health CenterLewiston, NY | $988 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $1,048 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $2,353 |
| Peconic Bay Medical CenterRiverhead, NY | $2,363 |
| Northern Westchester HospitalMt Kisco, NY | $2,404 |
| Richmond University Medical CenterStaten Island, NY | $2,652 |
|---|---|
| Brookdale Hospital Medical CenterBrooklyn, NY | $2,652 |
| Queens Hospital CenterJamaica, NY | $2,652 |
| New York Community Hospital of Brooklyn, INC.Brooklyn, NY | $2,652 |
| New York Hospital Medical Center of QueensNew York, NY | $2,652 |
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 89 hospitals in New York was billed at $16,196 on average, while the average medicare-allowed amount was $2,571, of which Medicare paid $2,040. Your own cost depends on your insurance, deductible and the hospital.
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 York, average charges were 6.3 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.