Level 1 Intraocular Procedures in Texas
What 80 hospitals in Texas charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$16,428
Hospital list price billed
Average allowed
$2,069
Medicare's payment + patient's share
Medicare paid
$1,641
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Texas billed an average of $16,428 for level 1 intraocular procedures, about 7.9 times the average medicare-allowed amount of $2,069. That payment is 6% 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 $2,069Billed $16,428
About 13¢ was paid for every $1 hospitals in Texas billed for this service.
Texas hospitals: level 1 intraocular procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Scott & White Memorial HospitalTemple | 1,024 | $9,317 | $2,067 | $1,634 |
| St Lukes Episcopal HospitalHouston | 806 | $11,341 | $2,145 | $1,703 |
| Shannon Medical CenterSan Angelo | 775 | $14,105 | $2,099 | $1,658 |
| Trinity Mother Frances SystTyler | 732 | $28,529 | $1,998 | $1,587 |
| UT Southwestern University HospitalDallas | 701 | $8,088 | $2,070 | $1,643 |
| Lake Granbury Medical CenterGranbury | 627 | $30,317 | $2,089 | $1,662 |
| Methodist Hospital,TheHouston | 571 | $27,418 | $2,134 | $1,694 |
| Columbus Community HospitalColumbus | 513 | $5,196 | $2,165 | $1,723 |
| University of Texas Medical Branch GalGalveston | 417 | $12,317 | $2,124 | $1,684 |
| Doctors Hospital at RenaissanceEdinburg | 367 | $11,428 | $2,005 | $1,588 |
| Texas Health Harris Methodist Hospital StephenvillStephenville | 357 | $11,087 | $2,193 | $1,735 |
| Kingwood Medical CenterKingwood | 352 | $52,244 | $2,151 | $1,711 |
| Guadalupe Regional Medical CenterSeguin | 331 | $9,543 | $1,984 | $1,572 |
| Hill Country Memorial HospitalFredericksburg | 331 | $13,133 | $2,017 | $1,606 |
| Sid Peterson Memorial HospitalKerrville | 325 | $6,682 | $1,997 | $1,584 |
| Physicians Centre,TheBryan | 309 | $6,559 | $2,006 | $1,593 |
| University Health SystemSan Antonio | 305 | $10,570 | $1,973 | $1,561 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 304 | $8,911 | $2,091 | $1,660 |
| Providence Health CenterWaco | 288 | $10,911 | $2,087 | $1,660 |
| Tomball Regional HospitalTomball | 281 | $26,439 | $2,161 | $1,721 |
| Baylor Scott & White Medical Center PflugervillePflugerville | 264 | $9,778 | $2,039 | $1,622 |
| Baylor Scott & White Medical Center - Marble FallsMarble Falls | 247 | $8,441 | $2,113 | $1,672 |
| North Texas Medical CenterGainesville | 244 | $7,800 | $2,231 | $1,773 |
| Longview Regional Medical CenterLongview | 243 | $25,944 | $2,060 | $1,637 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 232 | $8,077 | $2,080 | $1,640 |
| Good Shepherd Medical Center MarshallMarshall | 230 | $24,487 | $2,039 | $1,617 |
| Houston Methodist Baytown HospitalBaytown | 220 | $31,344 | $2,107 | $1,662 |
| Doctors Hospital of LaredoLaredo | 197 | $21,630 | $1,990 | $1,576 |
| Brownwood Regional Medical CenterBrownwood | 192 | $20,273 | $2,148 | $1,706 |
| Bellville General HospitalBellville | 174 | $11,357 | $2,050 | $1,627 |
| Baylor Surgical Hospital at las ColinasIrving | 172 | $8,737 | $2,039 | $1,611 |
| Texas Health Hospital FriscoFrisco | 169 | $11,710 | $2,097 | $1,671 |
| Memorial Hermann Surgical Hospital KingwoodKingwood | 163 | $13,594 | $2,161 | $1,720 |
| Hendrick Health SystemAbilene | 154 | $34,120 | $1,048 | $834 |
| University Medical CenterLubbock | 138 | $24,143 | $1,996 | $1,571 |
| Navarro Regional HospitalCorsicana | 103 | $16,894 | $2,055 | $1,630 |
| Childress Regional Medical CenterChildress | 98 | $6,106 | $2,166 | $1,725 |
| Ascension Seton SmithvilleSmithville | 88 | $21,400 | $1,997 | $1,580 |
| Oakbend Medical CenterRichmond | 86 | $15,039 | $2,161 | $1,721 |
| Rio Grande Regional HospitalMcAllen | 85 | $22,360 | $2,003 | $1,592 |
| Jps Health NetworkFort Worth | 83 | $23,986 | $2,104 | $1,676 |
| Methodist Hospital AtascosaJourdanton | 81 | $22,031 | $2,022 | $1,603 |
| Lubbock Heart Hospital LpLubbock | 74 | $9,150 | $2,018 | $1,604 |
| Parkland Health and Hospital SystemDallas | 71 | $29,203 | $2,097 | $1,671 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs | 65 | $42,956 | $2,219 | $1,757 |
| Valley Baptist Medical Center - BrownsvilleBrownsville | 63 | $42,550 | $1,920 | $1,505 |
| Connally Memorial Medical CenterFloresville | 62 | $14,284 | $1,996 | $1,585 |
| Baylor Scott and White Surgical Hospital at ShermaSherman | 56 | $14,425 | $1,959 | $1,545 |
| Midland Memorial HospitalMidland | 43 | $14,293 | $1,999 | $1,588 |
| Stephens Memorial HospitalBreckenridge | 35 | $6,888 | $2,102 | $1,671 |
| Hillcrest Baptist Med CenterWaco | 32 | $9,745 | $2,046 | $1,619 |
| Palo Pinto General HospitalMineral Wells | 30 | $6,796 | $1,978 | $1,561 |
| Medical Center HospitalOdessa | 29 | $13,514 | $1,957 | $1,535 |
| Eastland Memorial HospitalEastland | 29 | $7,292 | $2,166 | $1,725 |
| Fort Duncan Medical CenterEagle Pass | 27 | $13,679 | $1,974 | $1,534 |
| Val Verde Regional Medical CenterDel Rio | 25 | $11,520 | $2,166 | $1,725 |
| Legent Orthopedic HospitalGrapevine | 24 | $13,733 | $1,820 | $1,446 |
| Memorial Hermann Texas Medical CenterHouston | 21 | $43,506 | $2,079 | $1,640 |
| Univ of Tx M D Anderson CtrHouston | 21 | $18,529 | $2,161 | $1,720 |
| Harris County Hospital DistrictHouston | 21 | $11,378 | $2,151 | $1,714 |
| Houston Northwest Medical CenterHouston | 20 | $48,963 | $2,161 | $1,722 |
| Horizon Medical Center of DentonDenton | 19 | $12,780 | $2,097 | $1,671 |
| Ad Hospital East, LLCHouston | 19 | $21,795 | $2,119 | $1,683 |
| Texas Health Presbyterian Hospital DallasDallas | 17 | $10,133 | $2,097 | $1,671 |
| Seton Medical Center AustinAustin | 15 | $43,190 | $2,051 | $1,634 |
| Methodist Sugar Land HospitalSugar Land | 15 | $31,128 | $1,931 | $1,492 |
| Matagorda General HospitalBay City | 14 | $11,297 | $2,166 | $1,725 |
| Memorial Hermann Katy HospitalKaty | 14 | $17,982 | $2,161 | $1,722 |
| Patients Medical Center, LtdPasadena | 13 | $10,799 | $2,161 | $1,722 |
| United Regional Hlth Care SystWichita Falls | – | – | – | – |
| St Joseph Regional Health CenterBryan | – | – | – | – |
| CHRISTUS St Joseph HospitalHouston | – | – | – | – |
| Methodist Dallas Medical CenterDallas | – | – | – | – |
| Baptist Medical CenterSan Antonio | – | – | – | – |
| East Texas Medical CenterTyler | – | – | – | – |
| HCA Houston Healthcare SoutheastPasadena | – | – | – | – |
| Texas Health Harris Methodist Fort WorthFort Worth | – | – | – | – |
| Cuero Community HospitalCuero | – | – | – | – |
| Baylor Regional Medical Center at PlanoPlano | – | – | – | – |
| Children's Med Cntr of DallasDallas | – | – | – | – |
Lowest and highest allowed amounts in Texas
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
| Hendrick Health SystemAbilene, TX | $1,048 |
|---|---|
| Legent Orthopedic HospitalGrapevine, TX | $1,820 |
| Valley Baptist Medical Center - BrownsvilleBrownsville, TX | $1,920 |
| Methodist Sugar Land HospitalSugar Land, TX | $1,931 |
| Medical Center HospitalOdessa, TX | $1,957 |
Highest
| North Texas Medical CenterGainesville, TX | $2,231 |
|---|---|
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs, TX | $2,219 |
| Texas Health Harris Methodist Hospital StephenvillStephenville, TX | $2,193 |
| Val Verde Regional Medical CenterDel Rio, TX | $2,166 |
| Childress Regional Medical CenterChildress, TX | $2,166 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Texas?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 80 hospitals in Texas was billed at $16,428 on average, while the average medicare-allowed amount was $2,069, of which Medicare paid $1,641. 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 Texas, average charges were 7.9 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.