What 29 hospitals in Georgia charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in Georgia billed an average of $29,223 for level 2 intraocular procedures, about 8.1 times the average medicare-allowed amount of $3,623. That payment is 8% below 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.
About 12¢ was paid for every $1 hospitals in Georgia billed for this service.
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northside HospitalAtlanta | 293 | $24,200 | $3,764 | $2,991 |
| Athens Regional Medical CenterAthens | 84 | $43,810 | $3,575 | $2,832 |
| Emory University HospitalAtlanta | 40 | $28,974 | $3,773 | $3,006 |
| St Joseph's Hospital - SavannahSavannah | 39 | $16,329 | $3,437 | $2,738 |
| Piedmont Macon North HospitalMacon | 39 | $53,026 | $3,348 | $2,634 |
| Memorial Health Univ Med Cen, INCSavannah | 36 | $38,975 | $3,361 | $2,656 |
| Northside Hospital ForsythCumming | 32 | $16,190 | $3,760 | $2,993 |
| Candler HospitalSavannah | 30 | $19,377 | $3,388 | $2,689 |
| Piedmont Columbus Regional MidtownColumbus | 20 | $42,128 | $3,227 | $2,509 |
| Medical College of Ga Hospitals and ClinicsAugusta | 13 | $25,545 | $3,282 | $2,613 |
| Sumter Regional HospitalAmericus | 12 | $9,273 | $3,224 | $2,514 |
| Phoebe Putney Memorial HospitalAlbany | 11 | $12,915 | $3,827 | $3,049 |
| Grady Memorial HospitalAtlanta | 11 | $65,637 | $3,773 | $3,006 |
| Hamilton Medical CenterDalton | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| St Mary's HospitalAthens | – | – | – | – |
| Gordon HospitalCalhoun | – | – | – | – |
| Wellstar Paulding HospitalDallas | – | – | – | – |
| Murray Medical CenterChatsworth | – | – | – | – |
| Emory Decatur HospitalDecatur | – | – | – | – |
| Piedmont HospitalAtlanta | – | – | – | – |
| Sgmc HealthValdosta | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Coliseum Medical CenterMacon | – | – | – | – |
| Wellstar Douglas HospitalDouglasville | – | – | – | – |
| Piedmont Newnan Hospital, INCNewnan | – | – | – | – |
| Northside Hospital DuluthDuluth | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Sumter Regional HospitalAmericus, GA | $3,224 |
|---|---|
| Piedmont Columbus Regional MidtownColumbus, GA | $3,227 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $3,282 |
| Piedmont Macon North HospitalMacon, GA | $3,348 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $3,361 |
| Phoebe Putney Memorial HospitalAlbany, GA | $3,827 |
|---|---|
| Emory University HospitalAtlanta, GA | $3,773 |
| Grady Memorial HospitalAtlanta, GA | $3,773 |
| Northside HospitalAtlanta, GA | $3,764 |
| Northside Hospital ForsythCumming, GA | $3,760 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 29 hospitals in Georgia was billed at $29,223 on average, while the average medicare-allowed amount was $3,623, of which Medicare paid $2,874. 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 Georgia, average charges were 8.1 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.