Level 2 Intraocular Procedures
What 926 hospitals in the U.S. charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Average charge
$25,800
Hospital list price billed
Average allowed
$3,924
Medicare's payment + patient's share
Medicare paid
$3,116
Average per service
Volume
46,728
Medicare services
Hospitals in the U.S. billed an average of $25,800 for level 2 intraocular procedures, about 6.6 times the average medicare-allowed amount of $3,924.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Barnes-Jewish West County HospitalSt Louis, MO | $1,425 |
|---|---|
| Lewistown HospitalLewistown, PA | $1,453 |
| Metrohealth SystemCleveland, OH | $1,573 |
| Memorial Hospital at GulfportGulfport, MS | $1,622 |
| Toledo Hospital theToledo, OH | $1,668 |
| Fletcher Allen Hospital of VermontBurlington, VT | $1,895 |
| Shands Hospital at the University of FloridaGainesville, FL | $2,009 |
| Doctors Hospital of MantecaManteca, CA | $2,043 |
| Northwestern Medical CenterSt Albans, VT | $2,071 |
| University of Kansas HospitalKansas City, KS | $2,077 |
Highest
| St Mary's Medical CenterSan Francisco, CA | $5,812 |
|---|---|
| Peninsula Medical CenterBurlingame, CA | $5,812 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $5,812 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $5,725 |
| Stanford HospitalPalo Alto, CA | $5,725 |
| Good Samaritan HospitalSan Jose, CA | $5,708 |
| UCSF Medical CenterSan Francisco, CA | $5,702 |
| Salinas Valley Memorial HospitalSalinas, CA | $5,647 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA | $5,627 |
| San Francisco General HospitalSan Francisco, CA | $5,626 |
Level 2 Intraocular Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 21 | $19,918 | $3,351 | $3,220 – $3,597 |
| Alaska | 2 | $27,108 | $4,197 | $4,197 – $4,197 |
| Arizona | 5 | $32,865 | $3,949 | $3,940 – $3,965 |
| Arkansas | 5 | $18,696 | $3,438 | $3,370 – $3,485 |
| California | 108 | $40,293 | $5,194 | $2,043 – $5,812 |
| Colorado | 9 | $20,619 | $3,850 | $3,834 – $3,871 |
| Connecticut | 11 | $15,623 | $4,452 | $4,173 – $4,580 |
| Delaware | 1 | $18,816 | $3,940 | – |
| Florida | 32 | $35,745 | $3,546 | $2,009 – $3,944 |
| Georgia | 29 | $29,223 | $3,623 | $3,224 – $3,827 |
| Hawaii | 5 | $17,373 | $4,488 | $3,999 – $4,676 |
| Idaho | 4 | $31,627 | $3,632 | $3,517 – $3,935 |
| Illinois | 52 | $27,527 | $3,844 | $3,602 – $3,972 |
| Indiana | 28 | $31,773 | $3,676 | $3,144 – $3,824 |
| Iowa | 13 | $25,413 | $3,574 | $3,478 – $3,603 |
| Kansas | 9 | $34,597 | $3,180 | $2,077 – $3,471 |
| Kentucky | 12 | $19,346 | $3,419 | $3,270 – $3,593 |
| Louisiana | 29 | $29,827 | $3,383 | $3,144 – $3,488 |
| Maine | 5 | $12,456 | $3,542 | $3,542 – $3,542 |
| Massachusetts | 17 | $11,659 | $4,343 | $4,290 – $4,367 |
| Michigan | 41 | $20,694 | $3,552 | $2,452 – $3,819 |
| Minnesota | 17 | $20,844 | $4,038 | $3,789 – $4,168 |
| Mississippi | 8 | $30,910 | $3,345 | $1,622 – $3,608 |
| Missouri | 20 | $19,330 | $3,360 | $1,425 – $3,875 |
| Montana | 7 | $13,983 | $3,931 | $3,783 – $4,083 |
| Nebraska | 6 | $16,270 | $3,654 | $3,600 – $3,752 |
| Nevada | 4 | $59,480 | $4,593 | $4,297 – $4,864 |
| New Hampshire | 4 | $36,269 | $4,070 | $3,898 – $4,154 |
| New Jersey | 20 | $23,826 | $4,324 | $4,158 – $4,627 |
| New Mexico | 4 | $36,172 | $3,353 | $2,225 – $3,521 |
| New York | 58 | $27,714 | $4,486 | $1,724 – $4,627 |
| North Carolina | 40 | $19,862 | $3,633 | $3,436 – $4,143 |
| North Dakota | 3 | $13,750 | $3,865 | $3,750 – $4,048 |
| Ohio | 35 | $19,486 | $3,159 | $1,573 – $3,649 |
| Oklahoma | 13 | $22,413 | $3,452 | $3,284 – $3,503 |
| Oregon | 9 | $19,363 | $4,215 | $3,974 – $4,456 |
| Pennsylvania | 50 | $24,330 | $3,746 | $1,453 – $4,285 |
| Rhode Island | 1 | $9,908 | $4,126 | – |
| South Carolina | 13 | $29,796 | $3,354 | $2,356 – $3,833 |
| South Dakota | 6 | $12,733 | $3,869 | $3,738 – $4,083 |
| Tennessee | 14 | $29,949 | $3,430 | $3,323 – $3,604 |
| Texas | 62 | $27,503 | $3,609 | $3,284 – $3,770 |
| Utah | 12 | $18,874 | $3,596 | $3,576 – $3,642 |
| Vermont | 2 | $12,883 | $1,933 | $1,895 – $2,071 |
| Virginia | 20 | $19,764 | $3,704 | $3,321 – $3,930 |
| Washington | 16 | $22,210 | $4,157 | $3,869 – $4,379 |
| West Virginia | 9 | $18,708 | $3,389 | $3,236 – $3,408 |
| Wisconsin | 30 | $21,109 | $3,739 | $3,616 – $3,954 |
| Wyoming | 2 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Wills Eye HospitalPhiladelphia, PA | 1,059 | $16,492 | $3,947 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | 1,036 | $10,943 | $4,341 |
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | 731 | $18,817 | $3,361 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | 671 | $18,735 | $3,437 |
| Cleveland Clinic - Main CampusCleveland, OH | 644 | $17,300 | $3,437 |
| Duke University Medical CenterDurham, NC | 526 | $20,735 | $3,656 |
| Inova Fair Oaks HospitalFairfax, VA | 510 | $19,988 | $3,766 |
| Summit Medical CenterEdmond, OK | 483 | $20,105 | $3,470 |
| Univ of Miami Hosp & ClinicsMiami, FL | 477 | $34,022 | $3,661 |
| University of Iowa Hospital & ClinicsIowa City, IA | 477 | $27,785 | $3,603 |
| UCLA Medical CenterLos Angeles, CA | 473 | $20,210 | $4,957 |
| Ny Eye and Ear InfirmaryNew York, NY | 471 | $17,028 | $4,603 |
| New York-Presbyterian HospitalNew York, NY | 469 | $31,555 | $4,619 |
| UPMC MercyPittsburgh, PA | 467 | $29,917 | $3,617 |
| Presbyterian HospitalCharlotte, NC | 446 | $14,315 | $3,608 |
Questions
How much does level 2 intraocular procedures cost in the U.S.?
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 926 hospitals in the U.S. was billed at $25,800 on average, while the average medicare-allowed amount was $3,924, of which Medicare paid $3,116. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 intraocular procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($5,194), Nevada ($4,593), Hawaii ($4,488) and lowest in Ohio ($3,159), Kansas ($3,180), Mississippi ($3,345).
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 the U.S., average charges were 6.6 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.