What 3 hospitals in Wyoming charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Hospitals in Wyoming billed an average of $7,471 for level 1 intraocular procedures, about 3.5 times the average medicare-allowed amount of $2,156. That payment is 2% 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.
About 29¢ was paid for every $1 hospitals in Wyoming billed for this service.
Every Wyoming hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Summit Medical CenterCasper | 664 | $7,958 | $2,124 | $1,688 |
| St Johns Medical CenterJackson | 142 | $4,929 | $2,276 | $1,795 |
| Evanston Regional HospitalEvanston | 22 | $9,188 | $2,340 | $1,847 |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Summit Medical CenterCasper, WY | $2,124 |
|---|---|
| St Johns Medical CenterJackson, WY | $2,276 |
| Evanston Regional HospitalEvanston, WY | $2,340 |
| Evanston Regional HospitalEvanston, WY | $2,340 |
|---|---|
| St Johns Medical CenterJackson, WY | $2,276 |
| Summit Medical CenterCasper, WY | $2,124 |
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 3 hospitals in Wyoming was billed at $7,471 on average, while the average medicare-allowed amount was $2,156, of which Medicare paid $1,711. Your own cost depends on your insurance, deductible and the hospital.
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 Wyoming, average charges were 3.5 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.