Level 1 Intraocular Procedures in Washington
What 18 hospitals in Washington charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,299
Hospital list price billed
Average allowed
$2,422
Medicare's payment + patient's share
Medicare paid
$1,922
Average per service
State rank
#41 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $10,299 for level 1 intraocular procedures, about 4.3 times the average medicare-allowed amount of $2,422. That payment is 10% above 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 $2,422Billed $10,299
About 24¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 1 intraocular procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Confluence Health HospitalWenatchee | 1,565 | $9,982 | $2,484 | $1,970 |
| Harborview Medical CenterSeattle | 483 | $10,327 | $2,333 | $1,857 |
| Providence Holy Family HospitalSpokane | 467 | $10,102 | $2,329 | $1,851 |
| Evergreenhealth Medical CenterKirkland | 465 | $10,779 | $2,315 | $1,830 |
| Samaritan HospitalMoses Lake | 324 | $8,356 | $2,493 | $1,974 |
| Providence St Mary Medical CenterWalla Walla | 295 | $12,659 | $2,499 | $1,987 |
| Peachealth St John Medical CenterLongview | 215 | $6,393 | $2,547 | $2,020 |
| Overlake Hospital Medical CenterBellevue | 184 | $10,923 | $2,370 | $1,886 |
| S W Washington Medical CenterVancouver | 138 | $6,890 | $2,431 | $1,928 |
| Grays Harbor Community HospitalAberdeen | 124 | $11,565 | $2,482 | $1,964 |
| Tacoma General HospitalTacoma | 123 | $18,491 | $2,354 | $1,865 |
| Virginia Mason Medical CenterSeattle | 79 | $6,644 | $2,287 | $1,812 |
| University of Washington Medical CtrSeattle | 50 | $15,030 | $2,339 | $1,863 |
| Evergreenhealth MonroeMonroe | 40 | $7,286 | $2,285 | $1,801 |
| Valley Medical CenterRenton | 38 | $23,088 | $2,380 | $1,896 |
| Swedish Medical CenterSeattle | – | – | – | – |
| Providence Sacred Heart Medical CenterSpokane | – | – | – | – |
| Swedish IssaquahIssaquah | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Evergreenhealth MonroeMonroe, WA | $2,285 |
|---|---|
| Virginia Mason Medical CenterSeattle, WA | $2,287 |
| Evergreenhealth Medical CenterKirkland, WA | $2,315 |
| Providence Holy Family HospitalSpokane, WA | $2,329 |
| Harborview Medical CenterSeattle, WA | $2,333 |
Highest
| Peachealth St John Medical CenterLongview, WA | $2,547 |
|---|---|
| Providence St Mary Medical CenterWalla Walla, WA | $2,499 |
| Samaritan HospitalMoses Lake, WA | $2,493 |
| Confluence Health HospitalWenatchee, WA | $2,484 |
| Grays Harbor Community HospitalAberdeen, WA | $2,482 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Washington?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 18 hospitals in Washington was billed at $10,299 on average, while the average medicare-allowed amount was $2,422, of which Medicare paid $1,922. 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 Washington, average charges were 4.3 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.