Level 1 Intraocular Procedures in Oregon
What 13 hospitals in Oregon charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$9,140
Hospital list price billed
Average allowed
$2,455
Medicare's payment + patient's share
Medicare paid
$1,951
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $9,140 for level 1 intraocular procedures, about 3.7 times the average medicare-allowed amount of $2,455. That payment is 11% 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 $2,455Billed $9,140
About 27¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 1 intraocular procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 712 | $8,597 | $2,440 | $1,942 |
| Mercy Medical CenterRoseburg | 554 | $7,793 | $2,526 | $2,005 |
| Legacy Good Samaritan Medical CenterPortland | 427 | $13,090 | $2,391 | $1,892 |
| Hillsboro Medical CenterHillsboro | 386 | $5,658 | $2,440 | $1,943 |
| Providence St Vincent Medical CenterPortland | 161 | $10,911 | $2,433 | $1,934 |
| Providence Milwaukie HospitalMilwaukie | 159 | $10,745 | $2,421 | $1,921 |
| Bay Area HospitalCoos Bay | 27 | $17,386 | $2,546 | $2,029 |
| Sky Lakes Medical CenterKlamath Falls | 26 | $3,802 | $3,030 | $2,414 |
| Santiam Memorial HospitalStayton | 21 | $17,056 | $2,334 | $1,859 |
| Ashland Community HospitalAshland | – | – | – | – |
| St Charles Medical Center - BendBend | – | – | – | – |
| Salem HospitalSalem | – | – | – | – |
| Sacred Heart Medical Center - RiverbendSpringfield | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Santiam Memorial HospitalStayton, OR | $2,334 |
|---|---|
| Legacy Good Samaritan Medical CenterPortland, OR | $2,391 |
| Providence Milwaukie HospitalMilwaukie, OR | $2,421 |
| Providence St Vincent Medical CenterPortland, OR | $2,433 |
| OHSU Hospital and ClinicsPortland, OR | $2,440 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $3,030 |
|---|---|
| Bay Area HospitalCoos Bay, OR | $2,546 |
| Mercy Medical CenterRoseburg, OR | $2,526 |
| Hillsboro Medical CenterHillsboro, OR | $2,440 |
| OHSU Hospital and ClinicsPortland, OR | $2,440 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Oregon?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 13 hospitals in Oregon was billed at $9,140 on average, while the average medicare-allowed amount was $2,455, of which Medicare paid $1,951. 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 Oregon, average charges were 3.7 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.