Level 2 Intraocular Procedures in Massachusetts
What 17 hospitals in Massachusetts charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Average charge
$11,659
Hospital list price billed
Average allowed
$4,343
Medicare's payment + patient's share
Medicare paid
$3,454
Average per service
State rank
#39 of 44
1 = lowest average payment
Hospitals in Massachusetts billed an average of $11,659 for level 2 intraocular procedures, about 2.7 times the average medicare-allowed amount of $4,343. That payment is 11% 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 $4,343Billed $11,659
About 37¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 intraocular procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston | 1,036 | $10,943 | $4,341 | $3,452 |
| Tufts Medical CenterBoston | 219 | $14,715 | $4,351 | $3,461 |
| Lahey Clinic HospitalBurlington | 163 | $8,006 | $4,290 | $3,402 |
| Baystate Medical CenterSpringfield | 137 | $9,128 | $4,367 | $3,479 |
| South Shore HospitalSouth Weymouth | 105 | $7,198 | $4,367 | $3,476 |
| Umass Memorial Medical Center INCWorcester | 105 | $23,726 | $4,346 | $3,461 |
| Boston Medical Center CorporationBoston | 50 | $13,327 | $4,367 | $3,479 |
| Beth Israel Deaconess Medical CenterBoston | 33 | $17,602 | $4,367 | $3,479 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 17 | $10,367 | $4,367 | $3,479 |
| Baystate Franklin Medical CenterGreenfield | 11 | $7,863 | $4,367 | $3,479 |
| Healthalliance Hospitals, INCLeominster | – | – | – | – |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Beverly Hospital CorporationBeverly | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Newton-Wellesley HospitalNewton Lower Falls | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Lahey Clinic HospitalBurlington, MA | $4,290 |
|---|---|
| Massachusetts Eye and Ear InfirmaryBoston, MA | $4,341 |
| Umass Memorial Medical Center INCWorcester, MA | $4,346 |
| Tufts Medical CenterBoston, MA | $4,351 |
| Baystate Franklin Medical CenterGreenfield, MA | $4,367 |
Highest
| South Shore HospitalSouth Weymouth, MA | $4,367 |
|---|---|
| Baystate Franklin Medical CenterGreenfield, MA | $4,367 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $4,367 |
| Boston Medical Center CorporationBoston, MA | $4,367 |
| Baystate Medical CenterSpringfield, MA | $4,367 |
Level 2 Intraocular Procedures in other states
Questions
How much does level 2 intraocular procedures cost in Massachusetts?
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 17 hospitals in Massachusetts was billed at $11,659 on average, while the average medicare-allowed amount was $4,343, of which Medicare paid $3,454. 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 Massachusetts, average charges were 2.7 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.