facebook tracking Level 2 Intraocular Procedures cost in Connecticut: 11 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Connecticut

What 11 hospitals in Connecticut charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $15,623 Hospital list price billed
Average allowed $4,452 Medicare's payment + patient's share
Medicare paid $3,531 Average per service
State rank #40 of 44 1 = lowest average payment

Hospitals in Connecticut billed an average of $15,623 for level 2 intraocular procedures, about 3.5 times the average medicare-allowed amount of $4,452. That payment is 13% 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 $4,452Billed $15,623

About 28¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Hartford HospitalHartford 140 $13,420 $4,484 $3,559
Yale-New Haven HospitalNew Haven 63 $16,411 $4,402 $3,466
Saint Marys HospitalWaterbury 35 $18,805 $4,536 $3,614
Greenwich Hospital AssociationGreenwich 27 $14,678 $4,173 $3,325
Bridgeport HospitalBridgeport 14 $24,908 $4,580 $3,635
Griffin HospitalDerby 11 $19,512 $4,580 $3,649
Day Kimball HospitalPutnam – – – –
Lawrence & Memorial HospitalNew London – – – –
William W Backus HospitalNorwich – – – –
Manchester Memorial HospitalCentral Manchester – – – –
Danbury HospitalDanbury – – – –
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Lowest and highest allowed amounts in Connecticut

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

Greenwich Hospital AssociationGreenwich, CT$4,173
Yale-New Haven HospitalNew Haven, CT$4,402
Hartford HospitalHartford, CT$4,484
Saint Marys HospitalWaterbury, CT$4,536
Griffin HospitalDerby, CT$4,580

Highest

Bridgeport HospitalBridgeport, CT$4,580
Griffin HospitalDerby, CT$4,580
Saint Marys HospitalWaterbury, CT$4,536
Hartford HospitalHartford, CT$4,484
Yale-New Haven HospitalNew Haven, CT$4,402

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Connecticut?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 11 hospitals in Connecticut was billed at $15,623 on average, while the average medicare-allowed amount was $4,452, of which Medicare paid $3,531. 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 Connecticut, 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.