Level 1 Intraocular Procedures in Tennessee
What 31 hospitals in Tennessee charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,582
Hospital list price billed
Average allowed
$1,924
Medicare's payment + patient's share
Medicare paid
$1,525
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $10,582 for level 1 intraocular procedures, about 5.5 times the average medicare-allowed amount of $1,924. That payment is 13% 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 $1,924Billed $10,582
About 18¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 1 intraocular procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Jackson-Madison Cnty Gen HospJackson | 602 | $7,083 | $2,062 | $1,635 |
| Vanderbilt Wilson County HospitalLebanon | 492 | $13,112 | $1,989 | $1,577 |
| Maury Regional HospitalColumbia | 361 | $5,410 | $1,934 | $1,531 |
| Morristown-Hamblen HospitalMorristown | 259 | $5,903 | $1,892 | $1,501 |
| Southern Tennessee Regional Health System PulaskiPulaski | 209 | $12,531 | $1,957 | $1,551 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 203 | $9,509 | $1,337 | $1,064 |
| Greeneville Community HospitalGreeneville | 114 | $22,166 | $1,888 | $1,486 |
| Hardin County General HospitalSavannah | 107 | $7,639 | $1,902 | $1,511 |
| Henderson County Community HospitalLexington | 105 | $11,353 | $1,870 | $1,486 |
| Centennial Medical CenterNashville | 90 | $24,095 | $1,972 | $1,562 |
| Fort Sanders Loudon Med CenterLoudon | 60 | $8,128 | $1,922 | $1,531 |
| Vanderbilt University HospitalNashville | 56 | $24,124 | $1,896 | $1,496 |
| Tennova Healthcare - Newport Medical CenterNewport | 56 | $12,568 | $1,867 | $1,469 |
| Horizon Medical CenterDickson | 55 | $13,383 | $1,951 | $1,541 |
| Baptist Memorial HospitalMemphis | 55 | $11,970 | $1,967 | $1,561 |
| Memorial Healthcare System, INCChattanooga | 51 | $10,260 | $1,986 | $1,582 |
| Harton Regional Medical CenterTullahoma | 39 | $17,838 | $1,996 | $1,590 |
| Leconte Medical CenterSevierville | 33 | $8,295 | $1,875 | $1,485 |
| Stones River Hospital and Dekalb Community HospSmithville | 31 | $10,660 | $1,940 | $1,536 |
| Southern Tennessee Medical CenterWinchester | 25 | $13,952 | $1,992 | $1,587 |
| Erlanger Medical CenterChattanooga | 25 | $13,378 | $1,992 | $1,587 |
| Methodist Healthcare-MemphisMemphis | 22 | $16,311 | $1,960 | $1,559 |
| Metro Nashville General HospitalNashville | 16 | $7,020 | $2,008 | $1,600 |
| Skyline Medical CenterNashville | 12 | $19,957 | $2,008 | $1,587 |
| Roane Medical CenterHarriman | 12 | $7,722 | $1,922 | $1,516 |
| Sumner Regional Medical CenterGallatin | – | – | – | – |
| Univ of Tn Mem HospitalKnoxville | – | – | – | – |
| Williamson Medical CenterFranklin | – | – | – | – |
| Johnson City Medical CenterJohnson City | – | – | – | – |
| St Francis HospitalMemphis | – | – | – | – |
| Franklin Woods Community HospitalJohnson City | – | – | – | – |
Lowest and highest allowed amounts in Tennessee
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
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $1,337 |
|---|---|
| Tennova Healthcare - Newport Medical CenterNewport, TN | $1,867 |
| Henderson County Community HospitalLexington, TN | $1,870 |
| Leconte Medical CenterSevierville, TN | $1,875 |
| Greeneville Community HospitalGreeneville, TN | $1,888 |
Highest
| Jackson-Madison Cnty Gen HospJackson, TN | $2,062 |
|---|---|
| Skyline Medical CenterNashville, TN | $2,008 |
| Metro Nashville General HospitalNashville, TN | $2,008 |
| Harton Regional Medical CenterTullahoma, TN | $1,996 |
| Southern Tennessee Medical CenterWinchester, TN | $1,992 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Tennessee?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 31 hospitals in Tennessee was billed at $10,582 on average, while the average medicare-allowed amount was $1,924, of which Medicare paid $1,525. 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 Tennessee, average charges were 5.5 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.