Level 1 Intraocular Procedures in Utah
What 18 hospitals in Utah charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$8,000
Hospital list price billed
Average allowed
$2,084
Medicare's payment + patient's share
Medicare paid
$1,653
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $8,000 for level 1 intraocular procedures, about 3.8 times the average medicare-allowed amount of $2,084. 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 $2,084Billed $8,000
About 26¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 1 intraocular procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 1,739 | $7,056 | $2,066 | $1,641 |
| Davis Hospital and Medical CenterLayton | 455 | $10,509 | $2,075 | $1,649 |
| Lds HospitalSalt Lake City | 287 | $6,054 | $2,011 | $1,584 |
| Sevier Valley HospitalRichfield | 245 | $4,961 | $2,221 | $1,764 |
| Castleview HospitalPrice | 176 | $7,155 | $2,206 | $1,746 |
| Alta View HospitalSandy | 156 | $5,211 | $2,078 | $1,648 |
| American Fork HospitalAmerican Fork | 145 | $7,116 | $2,032 | $1,605 |
| Intermountain Health Spanish Fork HospitalSpanish Fork | 117 | $5,144 | $2,087 | $1,661 |
| Brigham City Community HospitalBrigham City | 105 | $21,714 | $2,088 | $1,662 |
| St Marks HospitalSalt Lake City | 90 | $21,980 | $2,016 | $1,589 |
| Uintah Basin Medical CenterRoosevelt | 71 | $6,359 | $2,211 | $1,753 |
| Riverton HospitalRiverton | 67 | $8,129 | $2,069 | $1,641 |
| Ashley Valley Medical CenterVernal | 59 | $14,345 | $2,236 | $1,773 |
| Logan Regional HospitalLogan | 46 | $6,708 | $2,052 | $1,617 |
| Bear River Valley HospitalTremonton | 31 | $5,189 | $2,088 | $1,660 |
| Jordan Valley Medical CenterWest Jordan | 23 | $9,338 | $2,088 | $1,663 |
| Utah Valley Regional Medical CenterProvo | – | – | – | – |
| Cottonwood Hospital Med CntrMurray | – | – | – | – |
Lowest and highest allowed amounts in Utah
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
| Lds HospitalSalt Lake City, UT | $2,011 |
|---|---|
| St Marks HospitalSalt Lake City, UT | $2,016 |
| American Fork HospitalAmerican Fork, UT | $2,032 |
| Logan Regional HospitalLogan, UT | $2,052 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $2,066 |
Highest
| Ashley Valley Medical CenterVernal, UT | $2,236 |
|---|---|
| Sevier Valley HospitalRichfield, UT | $2,221 |
| Uintah Basin Medical CenterRoosevelt, UT | $2,211 |
| Castleview HospitalPrice, UT | $2,206 |
| Bear River Valley HospitalTremonton, UT | $2,088 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Utah?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 18 hospitals in Utah was billed at $8,000 on average, while the average medicare-allowed amount was $2,084, of which Medicare paid $1,653. 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 Utah, average charges were 3.8 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.