Level 1 Intraocular Procedures in Virginia
What 31 hospitals in Virginia charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$11,761
Hospital list price billed
Average allowed
$2,088
Medicare's payment + patient's share
Medicare paid
$1,657
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $11,761 for level 1 intraocular procedures, about 5.6 times the average medicare-allowed amount of $2,088. That payment is 5% 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 $2,088Billed $11,761
About 18¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 1 intraocular procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Riverside Regional Medical CenterNewport News | 2,609 | $10,456 | $1,988 | $1,579 |
| Augusta HealthFishersville | 1,299 | $9,413 | $2,235 | $1,776 |
| Inova Fairfax HospitalFalls Church | 975 | $6,501 | $2,163 | $1,715 |
| Virginia Hospital Center - ArlingtonArlington | 367 | $10,615 | $2,158 | $1,713 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 353 | $14,521 | $2,125 | $1,687 |
| Sentara Leigh HospitalNorfolk | 345 | $13,856 | $1,996 | $1,580 |
| Mary Immaculate HospitalNewport News | 323 | $17,747 | $1,977 | $1,568 |
| Johnston Memorial HospitalAbingdon | 259 | $17,849 | $2,006 | $1,595 |
| Riverside Walter Reed HospitalGloucester | 227 | $10,625 | $2,006 | $1,598 |
| Culpeper Regional HospitalCulpeper | 219 | $10,741 | $2,138 | $1,693 |
| Winchester Medical Center INCWinchester | 206 | $6,340 | $2,283 | $1,810 |
| Community Memorial Healthcenter, INCSouth Hill | 196 | $12,488 | $2,154 | $1,702 |
| Southampton Memorial HospitalFranklin | 186 | $17,155 | $2,130 | $1,693 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 154 | $18,227 | $2,137 | $1,699 |
| Medical College of Virginia HospitalsRichmond | 129 | $19,466 | $1,986 | $1,562 |
| Southside Community Hospital, INCFarmville | 126 | $15,493 | $2,163 | $1,723 |
| Alleghany Regional HospitalJackson River | 104 | $20,998 | $2,138 | $1,696 |
| Sentara Norfolk General HospitalNorfolk | 69 | $21,697 | $1,981 | $1,569 |
| Sentara Careplex HospitalHampton | 64 | $13,415 | $2,002 | $1,590 |
| John Randolph Medical CenterHopewell | 55 | $52,161 | $1,998 | $1,586 |
| Smyth County Community HospitalMarion | 50 | $17,285 | $2,006 | $1,595 |
| Inova Alexandria HospitalAlexandria | 50 | $9,149 | $2,117 | $1,668 |
| Riverside Shore Memorial HospitalNassawadox | 43 | $12,034 | $2,149 | $1,709 |
| Sentara Virginia Beach General HospitalVirginia Beach | 36 | $16,778 | $1,943 | $1,526 |
| Inova Fair Oaks HospitalFairfax | 35 | $13,303 | $2,185 | $1,741 |
| University of Virginia Medical CenterCharlottesville | 25 | $16,823 | $2,140 | $1,702 |
| Clinch Valley Medical CenterRichlands | 22 | $18,518 | $2,006 | $1,598 |
| Sentara Rmh Medical CenterHarrisonburg | 19 | $11,172 | $2,292 | $1,803 |
| Carilion Medical CenterRoanoke | 15 | $22,286 | $1,900 | $1,489 |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Reston Hospital CenterReston | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Carilion Medical CenterRoanoke, VA | $1,900 |
|---|---|
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $1,943 |
| Mary Immaculate HospitalNewport News, VA | $1,977 |
| Sentara Norfolk General HospitalNorfolk, VA | $1,981 |
| Medical College of Virginia HospitalsRichmond, VA | $1,986 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $2,292 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $2,283 |
| Augusta HealthFishersville, VA | $2,235 |
| Inova Fair Oaks HospitalFairfax, VA | $2,185 |
| Southside Community Hospital, INCFarmville, VA | $2,163 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Virginia?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 31 hospitals in Virginia was billed at $11,761 on average, while the average medicare-allowed amount was $2,088, of which Medicare paid $1,657. 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 Virginia, average charges were 5.6 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.