Level 1 Intraocular Procedures in Ohio
What 56 hospitals in Ohio charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,588
Hospital list price billed
Average allowed
$1,898
Medicare's payment + patient's share
Medicare paid
$1,500
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $10,588 for level 1 intraocular procedures, about 5.6 times the average medicare-allowed amount of $1,898. That payment is 14% 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 $1,898Billed $10,588
About 18¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 1 intraocular procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland | 3,336 | $7,596 | $1,973 | $1,569 |
| Ohio State University HospitalsColumbus | 1,153 | $10,020 | $2,085 | $1,658 |
| Toledo Hospital theToledo | 1,073 | $12,856 | $1,019 | $807 |
| Hillcrest HospitalCleveland | 646 | $7,844 | $1,989 | $1,585 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 574 | $13,261 | $2,007 | $1,595 |
| Miami Valley HospitalDayton | 496 | $15,664 | $2,010 | $1,594 |
| Ohio Valley Medical Center, LLCSpringfield | 459 | $10,448 | $2,084 | $1,658 |
| Medina HospitalMedina | 458 | $9,376 | $1,969 | $1,564 |
| Fairview HospitalCleveland | 441 | $6,815 | $1,979 | $1,574 |
| Licking Memorial HospitalNewark | 429 | $11,082 | $2,072 | $1,648 |
| University Hospitals of ClevelandCleveland | 387 | $11,872 | $1,973 | $1,567 |
| Southwest General Health CenterMiddleburg Heights | 355 | $11,991 | $1,963 | $1,558 |
| Ashtabula County Medical CenterAshtabula | 305 | $9,271 | $2,102 | $1,670 |
| Memorial HospitalFremont | 250 | $11,351 | $1,704 | $1,298 |
| Metrohealth SystemCleveland | 243 | $8,381 | $848 | $443 |
| Mercy St Vincent Medical CenterToledo | 225 | $22,557 | $2,074 | $1,648 |
| Marietta Memorial HospitalMarietta | 222 | $6,839 | $1,268 | $860 |
| Community Hospitals and Wellness CentersBryan | 201 | $7,256 | $2,066 | $1,638 |
| Knox Community HospitalMt Vernon | 191 | $11,963 | $2,151 | $1,712 |
| Mary Rutan HospitalBellefontaine | 191 | $18,890 | $2,240 | $1,784 |
| Fairfield Medical CenterLancaster | 179 | $10,026 | $2,073 | $1,647 |
| Holzer Medical CenterGallipolis | 167 | $8,008 | $1,955 | $1,550 |
| Upper Valley Medical CenterTroy | 146 | $12,072 | $1,993 | $1,587 |
| Marion General HospitalMarion | 134 | $16,378 | $2,016 | $1,600 |
| Mercy Hospital ClermontBatavia | 112 | $16,747 | $1,940 | $1,523 |
| Coshocton County Memorial HospitalCoshocton | 110 | $15,343 | $2,093 | $1,660 |
| Wood County HospitalBowling Green | 106 | $4,862 | $1,982 | $1,577 |
| Grady Memorial HospitalDelaware | 106 | $15,176 | $2,068 | $1,645 |
| Samaritan Hospital - Peoples HospitalAshland | 103 | $8,973 | $1,968 | $1,565 |
| St Rita's Medical CenterLima | 96 | $30,005 | $1,976 | $1,569 |
| Good Samaritan HospitalCincinnati | 89 | $8,067 | $2,019 | $1,607 |
| Surgical Hospital at SouthwoodsYoungstown | 88 | $11,602 | $1,983 | $1,577 |
| Southern Ohio Medical CenterPortsmouth | 87 | $10,052 | $2,085 | $1,648 |
| Aultman HospitalCanton | 87 | $7,224 | $1,967 | $1,560 |
| Salem Community HospitalSalem | 85 | $12,510 | $1,983 | $1,580 |
| Mercer County Joint Township Community HospitalColdwater | 74 | $5,865 | $1,983 | $1,577 |
| Mercy Hospital of TiffinTiffin | 70 | $11,582 | $1,971 | $1,564 |
| University Hospital, INCCincinnati | 67 | $24,814 | $1,930 | $1,515 |
| Lake Hospital SystemPainesville | 49 | $15,733 | $1,795 | $1,389 |
| St Elizabeth Boardman Health CenterYoungstown | 33 | $12,078 | $1,935 | $1,532 |
| Memorial Hospital of Union CountyMarysville | 32 | $18,551 | $2,084 | $1,660 |
| Kettering Health DaytonDayton | 32 | $26,828 | $2,040 | $1,621 |
| East Liverpool City HospitalEast Liverpool | 27 | $7,484 | $1,983 | $1,579 |
| Bay Park Community HospitalOregon | 26 | $12,887 | $1,745 | $1,341 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 24 | $7,199 | $1,983 | $1,580 |
| Summa Health System - Akron CampusAkron | 23 | $16,426 | $1,708 | $1,305 |
| Bellevue HospitalBellevue | 23 | $9,129 | $1,988 | $1,575 |
| Bethesda North HospitalCincinnati | 23 | $13,183 | $2,027 | $1,614 |
| St Joseph Health CenterWarren | 20 | $9,264 | $1,983 | $1,580 |
| Madison County Hospital INCLondon | 19 | $13,389 | $2,084 | $1,660 |
| Kings Daughters Medical Center OhioPortsmouth | 12 | $5,496 | $1,983 | $1,577 |
| Firelands Community HospitalSandusky | – | – | – | – |
| Genesis Healthcare SystemZanesville | – | – | – | – |
| Parma Community General HospitalParma | – | – | – | – |
| Fisher Titus Memorial HospitalNorwalk | – | – | – | – |
| Arthur G James Cancer HospitalColumbus | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $848 |
|---|---|
| Toledo Hospital theToledo, OH | $1,019 |
| Marietta Memorial HospitalMarietta, OH | $1,268 |
| Memorial HospitalFremont, OH | $1,704 |
| Summa Health System - Akron CampusAkron, OH | $1,708 |
Highest
| Mary Rutan HospitalBellefontaine, OH | $2,240 |
|---|---|
| Knox Community HospitalMt Vernon, OH | $2,151 |
| Ashtabula County Medical CenterAshtabula, OH | $2,102 |
| Coshocton County Memorial HospitalCoshocton, OH | $2,093 |
| Southern Ohio Medical CenterPortsmouth, OH | $2,085 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Ohio?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 56 hospitals in Ohio was billed at $10,588 on average, while the average medicare-allowed amount was $1,898, of which Medicare paid $1,500. 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 Ohio, average charges were 5.6 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.