Level 1 Intraocular Procedures in North Carolina
What 57 hospitals in North Carolina charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,131
Hospital list price billed
Average allowed
$2,087
Medicare's payment + patient's share
Medicare paid
$1,656
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $10,131 for level 1 intraocular procedures, about 4.9 times the average medicare-allowed amount of $2,087. That payment is 5% 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 $2,087Billed $10,131
About 21¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 1 intraocular procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Carolina East Medical CenterNew Bern | 1,620 | $7,221 | $2,158 | $1,716 |
| Rex HospitalRaleigh | 1,219 | $10,156 | $2,069 | $1,640 |
| Presbyterian HospitalCharlotte | 1,169 | $6,555 | $2,069 | $1,643 |
| Duke University Medical CenterDurham | 1,160 | $14,837 | $2,079 | $1,651 |
| Onslow Memorial HospitalJacksonville | 1,008 | $7,724 | $2,119 | $1,675 |
| Highsmith-Rainey Memorial HospFayetteville | 698 | $5,131 | $2,009 | $1,591 |
| Nash General HospitalRocky Mount | 653 | $9,231 | $2,009 | $1,587 |
| Forsyth Memorial HospitalWinston-Salem | 642 | $6,462 | $2,111 | $1,676 |
| North Carolina Eye & Ear HospDurham | 591 | $5,202 | $2,084 | $1,657 |
| Rowan Regional Medical CenterSalisbury | 513 | $7,175 | $2,079 | $1,653 |
| Wayne Memorial HospitalGoldsboro | 433 | $9,115 | $2,348 | $1,865 |
| North Carolina Baptist HospitalWinston-Salem | 425 | $23,717 | $2,101 | $1,669 |
| ECU Health Medical CenterGreenville | 424 | $10,023 | $2,009 | $1,596 |
| UNC HospitalsChapel Hill | 407 | $11,803 | $2,115 | $1,680 |
| Duke Health Raleigh HospitalRaleigh | 407 | $11,670 | $2,090 | $1,662 |
| Lenoir Memorial HospitalKinston | 395 | $6,496 | $2,204 | $1,750 |
| Wilson Medical CenterWilson | 367 | $19,818 | $2,021 | $1,599 |
| Lake Norman Regional Medical CenterMooresville | 364 | $5,279 | $2,070 | $1,624 |
| Alamance Regional Medical CenterBurlington | 346 | $9,440 | $2,118 | $1,681 |
| Johnston Memorial HospitalSmithfield | 308 | $9,742 | $2,075 | $1,635 |
| Iredell Memorial Hospital INCStatesville | 285 | $6,664 | $2,043 | $1,619 |
| Betsy Johnson Regional HospitalDunn | 274 | $4,924 | $2,005 | $1,592 |
| Wakemed, Cary HospitalCary | 223 | $16,093 | $2,098 | $1,660 |
| Central Carolina HospitalSanford | 216 | $16,435 | $2,061 | $1,642 |
| Watauga Medical CenterBoone | 200 | $7,519 | $2,137 | $1,696 |
| ECU Health North HospitalRoanoke Rapids | 188 | $9,542 | $2,144 | $1,694 |
| C J Harris Community HospitalSylva | 181 | $13,148 | $2,028 | $1,616 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 165 | $20,240 | $2,008 | $1,594 |
| Brunswick Community HospitalSupply | 156 | $12,744 | $2,028 | $1,616 |
| Maria Parham HospitalHenderson | 153 | $17,314 | $2,007 | $1,593 |
| Haywood Regional Medical CenterClyde | 142 | $12,477 | $2,028 | $1,616 |
| Person Memorial HospitalRoxboro | 139 | $29,272 | $2,091 | $1,656 |
| Thomasville Medical CenterThomasville | 136 | $10,712 | $2,099 | $1,667 |
| Granville Medical CenterOxford | 135 | $12,102 | $2,029 | $1,600 |
| Scotland Memorial HospitalLaurinburg | 131 | $11,472 | $2,034 | $1,611 |
| Hugh Chatham Memorial HospitalElkin | 130 | $10,805 | $2,000 | $1,586 |
| Northern Hospital of Surry CountyMt Airy | 128 | $3,780 | $2,028 | $1,614 |
| Albemarle Hospital AuthorityElizabeth City | 109 | $13,142 | $2,156 | $1,707 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 107 | $18,086 | $2,028 | $1,616 |
| Duplin General HospitalKenansville | 107 | $6,468 | $1,993 | $1,572 |
| Southeastern Regional Medical CenterLumberton | 105 | $10,314 | $2,140 | $1,697 |
| Firsthealth Moore Regional HospitalPinehurst | 103 | $9,702 | $2,049 | $1,627 |
| Stanly Regional Medical CenterAlbemarle | 100 | $20,013 | $2,094 | $1,668 |
| Randolph HospitalAsheboro | 88 | $14,831 | $2,033 | $1,607 |
| Moses H Cone Memorial Hospital, theGreensboro | 84 | $11,076 | $2,090 | $1,664 |
| Margaret R Pardee Mem HospitalHendersonville | 78 | $9,003 | $2,028 | $1,616 |
| Columbus Regional Healthcare SystemWhiteville | 73 | $14,043 | $2,028 | $1,612 |
| Davie Medical CenterBermuda Run | 69 | $21,860 | $2,100 | $1,665 |
| New Hanover Regional Medical CenterWilmington | 50 | $13,890 | $2,172 | $1,730 |
| Catawba Valley Medical CenterHickory | 32 | $12,615 | $2,058 | $1,640 |
| Carolinas Medical Center-UnionMonroe | 28 | $20,304 | $2,034 | $1,608 |
| Carolinas Medical Center/Behav HealthCharlotte | 14 | $21,350 | $2,094 | $1,668 |
| Carolinas Medical Center-NortheastConcord | – | – | – | – |
| Cleveland Regional Medical CenterShelby | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Carolinas Med Ctr-UniversityCharlotte | – | – | – | – |
| Presbyterian Hospital HuntersvilleHuntersville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Duplin General HospitalKenansville, NC | $1,993 |
|---|---|
| Hugh Chatham Memorial HospitalElkin, NC | $2,000 |
| Betsy Johnson Regional HospitalDunn, NC | $2,005 |
| Maria Parham HospitalHenderson, NC | $2,007 |
| Wilkes Regional Medical CenterNorth Wilkesboro, NC | $2,008 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $2,348 |
|---|---|
| Lenoir Memorial HospitalKinston, NC | $2,204 |
| New Hanover Regional Medical CenterWilmington, NC | $2,172 |
| Carolina East Medical CenterNew Bern, NC | $2,158 |
| Albemarle Hospital AuthorityElizabeth City, NC | $2,156 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in North Carolina?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 57 hospitals in North Carolina was billed at $10,131 on average, while the average medicare-allowed amount was $2,087, of which Medicare paid $1,656. 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 North Carolina, average charges were 4.9 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.