facebook tracking Level 2 Intraocular Procedures cost in California: 108 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in California

What 108 hospitals in California charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $40,293 Hospital list price billed
Average allowed $5,194 Medicare's payment + patient's share
Medicare paid $4,133 Average per service
State rank #44 of 44 1 = lowest average payment

Hospitals in California billed an average of $40,293 for level 2 intraocular procedures, about 7.8 times the average medicare-allowed amount of $5,194. That payment is 32% above the U.S. average 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.

Paid $5,194Billed $40,293

About 13¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 2 intraocular procedures

Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
UCLA Medical CenterLos Angeles 473 $20,210 $4,957 $3,940
UCI Health-OrangeOrange 420 $26,967 $4,953 $3,937
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 408 $35,700 $5,627 $4,477
Good Samaritan HospitalLos Angeles 345 $36,174 $4,987 $3,968
Scripps Memorial Hospital la JollaLa Jolla 292 $56,665 $4,999 $3,983
University of California San Diego Medical CenterSan Diego 273 $30,684 $4,999 $3,981
Good Samaritan HospitalSan Jose 266 $130,313 $5,708 $4,544
Fresno Surgical HospitalFresno 261 $13,677 $4,984 $3,963
Stanford HospitalPalo Alto 242 $80,501 $5,725 $4,562
USC University HospitalLos Angeles 241 $21,960 $4,972 $3,956
University of California Davis Medical CenterSacramento 221 $50,546 $5,050 $4,020
Santa Barbara Cottage HospitalSanta Barbara 203 $32,757 $5,312 $4,221
UCSF Medical CenterSan Francisco 193 $53,446 $5,702 $4,538
St Jude Medical CenterFullerton 122 $28,513 $4,999 $3,981
Loma Linda University Medical CenterLoma Linda 119 $45,766 $4,999 $3,982
San Ramon Regional Medical CtrSan Ramon 110 $42,378 $5,620 $4,466
Mercy General HospitalSacramento 108 $21,358 $5,154 $4,093
Los Alamitos Medical CenterLos Alamitos 93 $59,209 $4,999 $3,979
Pomona Valley Hospital Medical CenterPomona 73 $51,192 $4,999 $3,983
Los Angeles General Medical CenterLos Angeles 73 $29,050 $4,999 $3,976
St Mary's Medical CenterSan Francisco 73 $31,754 $5,812 $4,627
Peninsula Medical CenterBurlingame 71 $31,689 $5,812 $4,628
Kaweah Delta Medical CenterVisalia 71 $15,334 $4,943 $3,927
Hollywood Presbyterian Medical CenterLos Angeles 63 $22,610 $4,999 $3,983
Petaluma Valley HospitalPetaluma 62 $26,023 $5,427 $4,319
Salinas Valley Memorial HospitalSalinas 58 $42,151 $5,647 $4,483
French Hospital Medical CenterSan Luis Obispo 53 $39,607 $4,999 $3,979
Sharp Memorial HospitalSan Diego 49 $31,989 $4,999 $3,979
Torrance Memorial Medical CenterTorrance 49 $25,303 $4,999 $3,983
San Francisco General HospitalSan Francisco 47 $42,540 $5,626 $4,479
Oroville HospitalOroville 42 $17,633 $4,999 $3,978
Saint John's Health CenterSanta Monica 38 $28,863 $4,999 $3,980
Lac/Harbor-UCLA Med CenterTorrance 36 $29,900 $4,999 $3,971
Community Hospital of the Monterey PeninsulaMonterey 35 $34,036 $5,725 $4,562
PIH Health Hospital-WhittierWhittier 32 $40,305 $4,999 $3,959
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 25 $36,744 $5,812 $4,631
Community Memorial Hospital - VenturaVentura 25 $25,544 $4,999 $3,983
Lac/Olive View-UCLA Medical CenterSylmar 23 $38,646 $4,999 $3,966
Downey Regional Medical CenterDowney 22 $21,220 $4,999 $3,983
Doctors Hospital of MantecaManteca 21 $54,237 $2,043 $1,614
Saint Agnes Medical CenterFresno 19 $23,087 $4,999 $3,983
Henry Mayo Newhall Memorial HospitalValencia 19 $20,923 $4,999 $3,983
Stanford Health Care Tri-ValleyPleasanton 17 $60,130 $5,725 $4,562
Queen of the Valley Medical CenterNapa 16 $32,828 $5,694 $4,537
Grossmont HospitalLa Mesa 14 $35,243 $4,999 $3,983
John Muir Medical Center - Walnut Creek CampusWalnut Creek 14 $69,381 $5,661 $4,510
Lompoc Healthcare DistrictLompoc 13 $21,136 $4,999 $3,983
Hoag Memorial Hospital PresbyterianNewport Beach 13 $31,701 $4,999 $3,968
West Hills Hospital & Medical CenterWest Hills 13 $100,315 $4,999 $3,983
Long Beach Memorial Medical CenterLong Beach 11 $35,602 $4,999 $3,983
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 11 $27,493 $5,432 $4,328
Paradise Valley HospitalNational City – – – –
Mad River Community HospitalArcata – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Community Regional Medical CenterFresno – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Scripps Mercy HospitalSan Diego – – – –
St Johns Regional Medical CenterOxnard – – – –
Sonoma Valley HospitalSonoma – – – –
Sutter Solano Medical CenterVallejo – – – –
White Memorial Medical CenterLos Angeles – – – –
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica – – – –
Valley Presbyterian HospitalVan Nuys – – – –
Novato Community HospitalNovato – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Santa Rosa Memorial HospitalSanta Rosa – – – –
Palmdale Regional Medical CenterLancaster – – – –
Alameda HospitalAlameda – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Desert Regional Medical CenterPalm Springs – – – –
Natividad Medical CenterSalinas – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
El Camino HospitalMountain View – – – –
Highland HospitalOakland – – – –
Providence Little Company of Mary Med Ctr TorranceTorrance – – – –
Marinhealth Medical CenterGreenbrae – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
Huntington Memorial HospitalPasadena – – – –
Doctors Medical CenterModesto – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Sutter Davis HospitalDavis – – – –
Memorial Medical CenterModesto – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital AnaheimAnaheim – – – –
Palomar Medical Center PowayPoway – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Stanislaus Surgical HospitalModesto – – – –
Centinela Hospital Medical CenterInglewood – – – –
Orange County Global Medical CenterSanta Ana – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Coast Plaza HospitalNorwalk – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
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Lowest and highest allowed amounts in California

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

Doctors Hospital of MantecaManteca, CA$2,043
Kaweah Delta Medical CenterVisalia, CA$4,943
UCI Health-OrangeOrange, CA$4,953
UCLA Medical CenterLos Angeles, CA$4,957
USC University HospitalLos Angeles, CA$4,972

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in California?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 108 hospitals in California was billed at $40,293 on average, while the average medicare-allowed amount was $5,194, of which Medicare paid $4,133. 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 California, average charges were 7.8 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.