What 28 hospitals in Indiana charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in Indiana billed an average of $31,773 for level 2 intraocular procedures, about 8.6 times the average medicare-allowed amount of $3,676. That payment is 6% 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 Indiana billed for this service.
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Franciscan Physicians Hospital LLCMunster | 145 | $25,975 | $3,782 | $3,002 |
| Indiana University Health Arnett HospitalLafayette | 94 | $28,580 | $3,625 | $2,887 |
| St Joseph HospitalFort Wayne | 82 | $72,356 | $3,692 | $2,940 |
| Physicians' Medical Center LLCNew Albany | 52 | $15,058 | $3,574 | $2,836 |
| Union Hospital INCTerre Haute | 47 | $23,166 | $3,610 | $2,864 |
| Memorial Hospital of South BendSouth Bend | 37 | $32,823 | $3,590 | $2,844 |
| Community HospitalMunster | 29 | $22,810 | $3,824 | $3,040 |
| Schneck Medical CenterSeymour | 28 | $12,479 | $3,705 | $2,939 |
| Eskenazi HealthIndianapolis | 26 | $27,245 | $3,672 | $2,926 |
| Porter, Valparaiso HospitalValparaiso | 25 | $39,337 | $3,511 | $2,774 |
| Franciscan St Anthony Health - Crown PointCrown Point | 20 | $22,153 | $3,824 | $3,047 |
| St Vincent Carmel Hospital INCCarmel | 18 | $50,535 | $3,672 | $2,926 |
| St Mary Medical Center INCHobart | 15 | $17,837 | $3,824 | $3,047 |
| St Mary's Medical Center of Evansville INCEvansville | 11 | $27,415 | $3,624 | $2,888 |
| Community Hospital of Anderson and Madison CountyAnderson | 11 | $21,602 | $3,144 | $2,394 |
| Methodist Hospitals, INCGary | – | – | – | – |
| La Porte Regional Health SystLa Porte | – | – | – | – |
| St Catherine Hospital INCEast Chicago | – | – | – | – |
| Saint Joseph Reg Medical CtrSouth Bend | – | – | – | – |
| Lutheran Hospital of IndianaFort Wayne | – | – | – | – |
| Parkview HospitalFort Wayne | – | – | – | – |
| Franciscan Health CrawfordsvilleCrawfordsville | – | – | – | – |
| Floyd Memorial Hospital and Health ServicesNew Albany | – | – | – | – |
| Memorial HospitalLogansport | – | – | – | – |
| Bluffton Regional Medical CenterBluffton | – | – | – | – |
| Deaconess Hospital INCEvansville | – | – | – | – |
| St Vincent Hospital & Health ServicesIndianapolis | – | – | – | – |
| Saint John's Health SystemAnderson | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Community Hospital of Anderson and Madison CountyAnderson, IN | $3,144 |
|---|---|
| Porter, Valparaiso HospitalValparaiso, IN | $3,511 |
| Physicians' Medical Center LLCNew Albany, IN | $3,574 |
| Memorial Hospital of South BendSouth Bend, IN | $3,590 |
| Union Hospital INCTerre Haute, IN | $3,610 |
| Community HospitalMunster, IN | $3,824 |
|---|---|
| St Mary Medical Center INCHobart, IN | $3,824 |
| Franciscan St Anthony Health - Crown PointCrown Point, IN | $3,824 |
| Franciscan Physicians Hospital LLCMunster, IN | $3,782 |
| Schneck Medical CenterSeymour, IN | $3,705 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 28 hospitals in Indiana was billed at $31,773 on average, while the average medicare-allowed amount was $3,676, of which Medicare paid $2,919. 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 Indiana, average charges were 8.6 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.