Level 1 Intraocular Procedures in Wisconsin
What 47 hospitals in Wisconsin charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$11,482
Hospital list price billed
Average allowed
$2,122
Medicare's payment + patient's share
Medicare paid
$1,685
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $11,482 for level 1 intraocular procedures, about 5.4 times the average medicare-allowed amount of $2,122. That payment is 4% 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 $2,122Billed $11,482
About 18¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 1 intraocular procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Gundersen Luth Med CtrLa Crosse | 1,584 | $12,488 | $2,029 | $1,611 |
| Aurora Baycare Med CtrGreen Bay | 940 | $9,062 | $2,073 | $1,642 |
| Aurora Memorial Hsptl BurlingtonBurlington | 705 | $16,531 | $2,167 | $1,721 |
| Oakleaf Surgical HospitalEau Claire | 529 | $2,833 | $2,093 | $1,667 |
| Mercy Hlth Sys CorpJanesville | 494 | $14,588 | $2,106 | $1,674 |
| Froedtert SouthKenosha | 374 | $12,052 | $2,192 | $1,744 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 367 | $11,900 | $2,193 | $1,747 |
| Monroe ClinicMonroe | 327 | $13,348 | $2,175 | $1,732 |
| Aspirus Rhinelander HospitalRhinelander | 316 | $7,460 | $2,205 | $1,749 |
| St Clare Hsptl Hlth SvcsBaraboo | 316 | $9,029 | $2,098 | $1,665 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 283 | $9,877 | $2,192 | $1,744 |
| Aurora Sheboygan Mem Med CtrSheboygan | 279 | $12,436 | $2,102 | $1,669 |
| St Agnes HsptlFond du Lac | 277 | $9,152 | $2,270 | $1,806 |
| Froedtert Mem Lutheran HsptlMilwaukee | 274 | $13,115 | $2,174 | $1,728 |
| Beloit Mem HsptlBeloit | 270 | $20,586 | $2,261 | $1,798 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 266 | $7,799 | $2,048 | $1,624 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 244 | $14,255 | $2,116 | $1,685 |
| Beaver Dam Com HsptlBeaver Dam | 226 | $13,531 | $2,117 | $1,685 |
| Divine Savior HlthcarePortage | 212 | $9,744 | $2,175 | $1,731 |
| Aurora Medical CenterSummit | 201 | $10,807 | $2,108 | $1,676 |
| St Nicholas HospitalSheboygan | 190 | $10,429 | $2,112 | $1,680 |
| St Elizabeth HsptlAppleton | 174 | $5,956 | $2,100 | $1,672 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | 163 | $12,902 | $2,057 | $1,623 |
| Bay Area Med CtrMarinette | 157 | $11,243 | $2,210 | $1,751 |
| Aurora St Lukes Medical CenterMilwaukee | 156 | $16,730 | $2,138 | $1,685 |
| Marshfield Medical CenterMarshfield | 147 | $8,530 | $2,209 | $1,754 |
| Aurora Med Ctr OshkoshOshkosh | 144 | $8,951 | $2,046 | $1,616 |
| Aurora Med Center-Washington CountyHartford | 135 | $11,240 | $2,100 | $1,666 |
| University of Wi Hospitals & Clinics AuthorityMadison | 128 | $12,764 | $2,141 | $1,697 |
| St Josephs Com Hsptl West BendWest Bend | 117 | $15,122 | $2,052 | $1,619 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 114 | $6,043 | $2,085 | $1,656 |
| Ascension SE Wisconsin HospitalMilwaukee | 105 | $13,338 | $2,094 | $1,663 |
| Sauk Prairie Mem HsptlPrairie du Sac | 86 | $10,184 | $2,107 | $1,672 |
| Howard Young Med CtrWoodruff | 83 | $8,233 | $2,233 | $1,776 |
| St Marys Hsptl Med CtrGreen Bay | 75 | $11,195 | $2,096 | $1,670 |
| Fort HealthcareFort Atkinson | 73 | $11,890 | $2,108 | $1,679 |
| Mile Bluff Medical Center, INCMauston | 73 | $9,139 | $2,233 | $1,779 |
| Holy Family Memorial INCManitowoc | 72 | $13,814 | $2,096 | $1,652 |
| Aurora Med Ctr KenoshaKenosha | 60 | $26,215 | $2,192 | $1,746 |
| Marshfield Medical Center - Rice LakeRice Lake | 48 | $8,412 | $2,159 | $1,705 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 26 | $11,926 | $2,195 | $1,749 |
| Marshfield Medical Center - MinocquaMinocqua | 17 | $8,346 | $2,085 | $1,661 |
| Luther Hospital Mayo Health SystemEau Claire | 12 | $11,244 | $2,211 | $1,761 |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| Marshfield Medical Center - Eau ClaireEau Claire | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Gundersen Luth Med CtrLa Crosse, WI | $2,029 |
|---|---|
| Aurora Med Ctr OshkoshOshkosh, WI | $2,046 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $2,048 |
| St Josephs Com Hsptl West BendWest Bend, WI | $2,052 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers, WI | $2,057 |
Highest
| St Agnes HsptlFond du Lac, WI | $2,270 |
|---|---|
| Beloit Mem HsptlBeloit, WI | $2,261 |
| Howard Young Med CtrWoodruff, WI | $2,233 |
| Mile Bluff Medical Center, INCMauston, WI | $2,233 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $2,211 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Wisconsin?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 47 hospitals in Wisconsin was billed at $11,482 on average, while the average medicare-allowed amount was $2,122, of which Medicare paid $1,685. 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 Wisconsin, average charges were 5.4 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.