facebook tracking Level 2 Intraocular Procedures cost in Hawaii: 5 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Hawaii

What 5 hospitals in Hawaii charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $17,373 Hospital list price billed
Average allowed $4,488 Medicare's payment + patient's share
Medicare paid $3,538 Average per service
State rank #42 of 44 1 = lowest average payment

Hospitals in Hawaii billed an average of $17,373 for level 2 intraocular procedures, about 3.9 times the average medicare-allowed amount of $4,488. That payment is 14% 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 $4,488Billed $17,373

About 26¢ was paid for every $1 hospitals in Hawaii billed for this service.

Hawaii hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
The Queens Medical CenterHonolulu 69 $14,926 $4,460 $3,510
Pali Momi Medical CenterAiea 39 $20,318 $4,676 $3,726
Straub Clinic and HospitalHonolulu 11 $22,275 $3,999 $3,048
Kaiser Foundation HospitalHonolulu – – – –
Wilcox Memorial HospitalLihue – – – –
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Lowest and highest allowed amounts in Hawaii

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

Straub Clinic and HospitalHonolulu, HI$3,999
The Queens Medical CenterHonolulu, HI$4,460
Pali Momi Medical CenterAiea, HI$4,676

Highest

Pali Momi Medical CenterAiea, HI$4,676
The Queens Medical CenterHonolulu, HI$4,460
Straub Clinic and HospitalHonolulu, HI$3,999

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Hawaii?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 5 hospitals in Hawaii was billed at $17,373 on average, while the average medicare-allowed amount was $4,488, of which Medicare paid $3,538. 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 Hawaii, average charges were 3.9 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.