Level 1 Intraocular Procedures in Pennsylvania
What 74 hospitals in Pennsylvania charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$14,401
Hospital list price billed
Average allowed
$1,974
Medicare's payment + patient's share
Medicare paid
$1,570
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $14,401 for level 1 intraocular procedures, about 7.3 times the average medicare-allowed amount of $1,974. That payment is 11% 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 $1,974Billed $14,401
About 14¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 1 intraocular procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Crozer Chester Medical CenterChester | 1,052 | $7,783 | $2,006 | $1,596 |
| Wills Eye HospitalPhiladelphia | 871 | $10,792 | $2,264 | $1,803 |
| UPMC MercyPittsburgh | 745 | $16,446 | $2,070 | $1,646 |
| UPMC MemorialYork | 728 | $7,493 | $1,208 | $960 |
| St Clair Memorial HospitalPittsburgh | 689 | $9,481 | $2,078 | $1,654 |
| Penn Presbyterian Medical CenterPhiladelphia | 618 | $27,083 | $2,336 | $1,857 |
| Geisinger Medical CenterDanville | 595 | $44,758 | $2,079 | $1,654 |
| Saint Vincent Health CenterErie | 578 | $11,504 | $2,456 | $1,956 |
| Mount Nittany Medical CenterState College | 574 | $5,768 | $2,342 | $1,864 |
| Robert Packer HospitalSayre | 569 | $7,588 | $2,129 | $1,693 |
| Lewistown HospitalLewistown | 536 | $13,293 | $992 | $788 |
| Phoenixville HospitalPhoenixville | 530 | $13,229 | $2,248 | $1,791 |
| Lehigh Valley HospitalAllentown | 511 | $16,578 | $2,270 | $1,807 |
| Hospital of the Univ of PaPhiladelphia | 501 | $24,697 | $940 | $746 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 452 | $44,167 | $1,100 | $873 |
| Gettysburg HospitalGettysburg | 437 | $7,955 | $916 | $728 |
| Edgewood Surgical HospitalTransfer | 415 | $5,563 | $2,081 | $1,657 |
| Highlands HospitalConnellsville | 379 | $4,673 | $2,078 | $1,651 |
| Meadville Medical CenterMeadville | 294 | $8,351 | $2,229 | $1,775 |
| UPMC St MargaretPittsburgh | 282 | $21,697 | $2,076 | $1,652 |
| Dubois Regional Medical CenterDubois | 274 | $6,266 | $2,223 | $1,770 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 239 | $16,681 | $2,348 | $1,870 |
| Clarion HospitalClarion | 229 | $4,653 | $2,221 | $1,766 |
| UPMC EastMonroeville | 212 | $18,439 | $2,061 | $1,637 |
| Riddle Memorial HospitalMedia | 203 | $9,985 | $2,255 | $1,794 |
| Heritage Valley SewickleySewickley | 200 | $3,943 | $2,081 | $1,656 |
| Physicians Care Surgical HospitalRoyersford | 186 | $12,188 | $2,186 | $1,736 |
| Windber HospitalWindber | 138 | $6,010 | $2,033 | $1,606 |
| ACMH HospitalKittanning | 137 | $6,428 | $2,057 | $1,634 |
| Carlisle Regional Medical CtrCarlisle | 128 | $8,333 | $2,110 | $1,681 |
| Mercy Hospital ScrantonScranton | 126 | $29,069 | $2,081 | $1,657 |
| Geisinger Medical Center MuncyMuncy | 111 | $7,792 | $2,066 | $1,643 |
| Pottstown Memorial Med CenterPottstown | 107 | $11,551 | $2,186 | $1,739 |
| Chestnut Hill HospitalPhiladelphia | 95 | $46,860 | $2,264 | $1,804 |
| Surgical Institute of ReadingWyomissing | 86 | $13,425 | $2,081 | $1,654 |
| UPMC BedfordEverett | 80 | $8,264 | $2,229 | $1,776 |
| Temple University HospitalPhiladelphia | 77 | $41,106 | $2,329 | $1,848 |
| Allegheny General HospitalPittsburgh | 77 | $16,689 | $2,081 | $1,655 |
| Punxsutawney Area HospitalPunxsutawney | 76 | $8,364 | $2,229 | $1,771 |
| Albert Einstein Medical CenterPhiladelphia | 73 | $9,509 | $2,174 | $1,717 |
| Jameson Memorial HospitalNew Castle | 72 | $7,334 | $2,058 | $1,635 |
| Warren General HospitalWarren | 67 | $6,623 | $2,429 | $1,920 |
| Wayne Memorial HospitalHonesdale | 60 | $10,663 | $2,236 | $1,777 |
| Uniontown HospitalUniontown | 56 | $6,389 | $2,081 | $1,654 |
| Excela Health Frick HospitalMt Pleasant | 53 | $12,272 | $2,081 | $1,658 |
| UPMC PassavantPittsburgh | 51 | $10,980 | $2,081 | $1,658 |
| Reading Hospital and Med CtrWest Reading | 50 | $14,569 | $2,129 | $1,695 |
| Northwest Medical CenterOil City | 42 | $8,529 | $2,081 | $1,658 |
| Indiana Regional Medical CenterIndiana | 40 | $10,935 | $2,233 | $1,776 |
| Washington Hospital, theWashington | 38 | $10,511 | $2,081 | $1,658 |
| Main Line Hospital LankenauWynnewood | 38 | $13,053 | $2,177 | $1,717 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 37 | $11,582 | $802 | $627 |
| Allegheny Valley HospitalNatrona Heights | 31 | $14,899 | $2,082 | $1,652 |
| Grand View HospitalSellersville | 30 | $13,786 | $2,248 | $1,791 |
| Milton S Hershey Medical CenterHershey | 29 | $26,631 | $2,133 | $1,687 |
| Millcreek Community HospitalErie | 27 | $6,299 | $2,082 | $1,652 |
| Waynesboro HospitalWaynesboro | 26 | $10,538 | $2,325 | $1,845 |
| St Luke's Hospital - Carbon CampusLehighton | 26 | $27,010 | $2,124 | $1,692 |
| Thomas Jefferson University HospitalPhiladelphia | 22 | $16,604 | $2,142 | $1,690 |
| Somerset HospitalSomerset | 19 | $11,925 | $2,229 | $1,776 |
| Nazareth HospitalPhiladelphia | 18 | $12,785 | $2,222 | $1,770 |
| Mercy Health SystemConshohocken | 15 | $18,477 | $2,265 | $1,773 |
| Nason HospitalRoaring Spring | 12 | $12,886 | $2,081 | $1,658 |
| Doylestown HospitalDoylestown | 11 | $18,177 | $2,248 | $1,791 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Holy Spirit HospitalCamp Hill | – | – | – | – |
| Lansdale HospitalLansdale | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Good Samaritan HospitalLebanon | – | – | – | – |
| Delaware County Memorial HospitalDrexel Hill | – | – | – | – |
| Lancaster General HospitalLancaster | – | – | – | – |
| UPMC Presbyterian ShadysidePittsburgh | – | – | – | – |
| Butler Health SystemButler | – | – | – | – |
| Grove City Medical CenterGrove City | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Magee Womens Hospital of UPMC Health SystemPittsburgh, PA | $802 |
|---|---|
| Gettysburg HospitalGettysburg, PA | $916 |
| Hospital of the Univ of PaPhiladelphia, PA | $940 |
| Lewistown HospitalLewistown, PA | $992 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $1,100 |
Highest
| Saint Vincent Health CenterErie, PA | $2,456 |
|---|---|
| Warren General HospitalWarren, PA | $2,429 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $2,348 |
| Mount Nittany Medical CenterState College, PA | $2,342 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $2,336 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Pennsylvania?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 74 hospitals in Pennsylvania was billed at $14,401 on average, while the average medicare-allowed amount was $1,974, of which Medicare paid $1,570. 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 Pennsylvania, average charges were 7.3 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.