facebook tracking Level 2 Intraocular Procedures cost in Illinois: 52 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Illinois

What 52 hospitals in Illinois charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $27,527 Hospital list price billed
Average allowed $3,844 Medicare's payment + patient's share
Medicare paid $3,053 Average per service
State rank #28 of 44 1 = lowest average payment

Hospitals in Illinois billed an average of $27,527 for level 2 intraocular procedures, about 7.2 times the average medicare-allowed amount of $3,844. That payment is 2% 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.

Paid $3,844Billed $27,527

About 14¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Evanston HospitalEvanston 249 $24,065 $3,733 $2,963
University of Illinois Hospital and ClinicsChicago 200 $23,567 $3,923 $3,119
Northwestern Memorial HospitalChicago 166 $48,821 $3,898 $3,092
Advocate Condell Medical CenterLibertyville 137 $32,013 $3,815 $3,033
Rush University Medical CenterChicago 118 $30,332 $3,954 $3,151
Advocate Lutheran General HospitalPark Ridge 112 $19,070 $3,833 $3,042
Proctor HospitalPeoria 105 $33,908 $3,729 $2,964
St Alexius Medical CenterSchaumburg 93 $26,259 $3,954 $3,151
Sherman HospitalElgin 80 $20,029 $3,970 $3,160
The University of Chicago Medical CenterChicago 80 $39,046 $3,837 $3,032
Advocate Trinity HospitalChicago 70 $22,866 $3,860 $3,073
Advocate Good Shepherd HospitalBarrington 61 $12,525 $3,837 $3,057
Provena St Joseph Medical CenterJoliet 58 $36,003 $3,807 $3,022
Elmhurst Memorial HospitalElmhurst 57 $29,277 $3,806 $3,017
Central Dupage HospitalWinfield 50 $38,647 $3,799 $3,014
Loyola University Medical CenterMaywood 41 $15,251 $3,954 $3,151
OSF Heart of Mary Medical CenterUrbana 39 $34,635 $3,609 $2,840
Delnor Community HospitalGeneva 39 $28,641 $3,972 $3,165
Saint Joseph HospitalChicago 34 $29,918 $3,862 $3,052
Macneal HospitalBerwyn 33 $31,781 $3,670 $2,864
Advocate Illinois Masonic Medical CenterChicago 32 $17,454 $3,860 $3,071
St Johns HospitalSpringfield 30 $28,690 $3,757 $2,994
Advocate Christ Hospital & Medical CenterOak Lawn 30 $17,454 $3,855 $3,063
Little Company of Mary HospitalEvergreen Park 28 $19,003 $3,954 $3,151
Thorek Memorial HospitalChicago 27 $13,657 $3,747 $2,947
Ingalls Memorial HospitalHarvey 26 $22,868 $3,860 $3,076
Copley Memorial HospitalAurora 24 $29,875 $3,839 $3,030
Swedish Covenant HospitalChicago 24 $20,636 $3,860 $3,076
Loyola Gottlieb Memorial HospitalMelrose Park 21 $7,470 $3,954 $3,151
Franciscan Health Olympia & Chicago HeightsOlympia Fields 21 $20,669 $3,860 $3,076
OSF Sacred Heart Medical CenterDanville 18 $27,201 $3,602 $2,827
Provident Hospital of ChicagoChicago 17 $17,526 $3,860 $3,076
Saint Anthony HospitalChicago 13 $12,342 $3,860 $3,076
John H Stroger Jr HospitalChicago 13 $20,988 $3,860 $3,065
Silver Cross HospitalJoliet 13 $12,193 $3,860 $3,076
Rush Oak Park HospitalOak Park 12 $24,018 $3,860 $3,076
West Suburban Hosp Med CenterOak Park – – – –
Adventist la Grange Memorial HospitalLa Grange – – – –
Louis a Weiss Memorial HospitalChicago – – – –
Carle Foundation HospitalUrbana – – – –
Northwestern Medicine McHenryMcHenry – – – –
Pekin Memorial HospitalPekin – – – –
Lake Forest HospitalLake Forest – – – –
Carle Richland Memorial HospitalOlney – – – –
Memorial Medical CenterSpringfield – – – –
Provena St Marys HospitalKankakee – – – –
Insight Hospital and Medical Center ChicagoChicago – – – –
OSF Saint James HospitalPontiac – – – –
St Mary & Elizabeth Med Ctr-Division CampusChicago – – – –
Javon Bea HospitalRockford – – – –
Trinity Rock IslandRock Island – – – –
Holy Family Medical CenterDes Plaines – – – –
Advertisement

Lowest and highest allowed amounts in Illinois

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

OSF Sacred Heart Medical CenterDanville, IL$3,602
OSF Heart of Mary Medical CenterUrbana, IL$3,609
Macneal HospitalBerwyn, IL$3,670
Proctor HospitalPeoria, IL$3,729
Evanston HospitalEvanston, IL$3,733

Highest

Delnor Community HospitalGeneva, IL$3,972
Sherman HospitalElgin, IL$3,970
Loyola Gottlieb Memorial HospitalMelrose Park, IL$3,954
Rush University Medical CenterChicago, IL$3,954
Little Company of Mary HospitalEvergreen Park, IL$3,954

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Illinois?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 52 hospitals in Illinois was billed at $27,527 on average, while the average medicare-allowed amount was $3,844, of which Medicare paid $3,053. 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 Illinois, average charges were 7.2 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.