facebook tracking Level 2 Intraocular Procedures cost in Iowa: 13 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Iowa

What 13 hospitals in Iowa charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $25,413 Hospital list price billed
Average allowed $3,574 Medicare's payment + patient's share
Medicare paid $2,844 Average per service
State rank #17 of 44 1 = lowest average payment

Hospitals in Iowa billed an average of $25,413 for level 2 intraocular procedures, about 7.1 times the average medicare-allowed amount of $3,574. That payment is 9% 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 $3,574Billed $25,413

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

Iowa hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 477 $27,785 $3,603 $2,867
Sartori Memorial HospitalCedar Falls 70 $24,066 $3,478 $2,770
The Finley HospitalDubuque 35 $11,803 $3,478 $2,771
Spencer Municipal HospitalSpencer 18 $13,698 $3,478 $2,766
Iowa Methodist Medical CenterDes Moines 13 $8,368 $3,491 $2,782
Mary Greeley Medical CenterAmes 11 $13,741 $3,491 $2,782
Marshalltown Medical & Surgical CenterMarshalltown – – – –
Trinity Regional Medical CenterFort Dodge – – – –
Alegent Health Mercy HospitalCouncil Bluffs – – – –
Genesis Medical Center-DavenportDavenport – – – –
Mercyone Waterloo Medical CenterWaterloo – – – –
Mercy Medical Center-DubuqueDubuque – – – –
Lakes Regional HealthcareSpirit Lake – – – –
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Lowest and highest allowed amounts in Iowa

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

The Finley HospitalDubuque, IA$3,478
Sartori Memorial HospitalCedar Falls, IA$3,478
Spencer Municipal HospitalSpencer, IA$3,478
Mary Greeley Medical CenterAmes, IA$3,491
Iowa Methodist Medical CenterDes Moines, IA$3,491

Highest

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Iowa?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 13 hospitals in Iowa was billed at $25,413 on average, while the average medicare-allowed amount was $3,574, of which Medicare paid $2,844. 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 Iowa, average charges were 7.1 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.