What 52 hospitals in Illinois charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
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.
About 14¢ was paid for every $1 hospitals in Illinois billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.