facebook tracking Level 2 Intraocular Procedures cost in Michigan: 41 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Michigan

What 41 hospitals in Michigan charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $20,694 Hospital list price billed
Average allowed $3,552 Medicare's payment + patient's share
Medicare paid $2,821 Average per service
State rank #16 of 44 1 = lowest average payment

Hospitals in Michigan billed an average of $20,694 for level 2 intraocular procedures, about 5.8 times the average medicare-allowed amount of $3,552. 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 $3,552Billed $20,694

About 17¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
William Beaumont HospitalRoyal Oak 334 $25,117 $3,615 $2,875
Univ of Michigan HospitalsAnn Arbor 312 $29,205 $3,752 $2,987
Straith Hospital for Special SurgerySouthfield 202 $7,735 $3,551 $2,823
Munson Medical CenterTraverse City 130 $13,620 $3,727 $2,952
Henry Ford HospitalDetroit 120 $14,106 $2,452 $1,938
Harper University HospitalDetroit 90 $37,029 $3,606 $2,862
Spectrum Health - Butterworth CampusGrand Rapids 81 $15,782 $3,465 $2,735
Lakeland Hospital, St JosephSt Joseph 57 $16,852 $3,444 $2,717
Trinity Health Ann Arbor HospitalAnn Arbor 56 $27,020 $3,667 $2,889
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 36 $15,455 $3,631 $2,893
Genesys Regional Medical Center - Health ParkGrand Blanc 32 $16,880 $3,819 $3,043
McLaren Greater LansingLansing 26 $13,270 $3,631 $2,893
Sinai-Grace HospitalDetroit 20 $25,946 $3,631 $2,893
Bronson Methodist HospitalKalamazoo 18 $10,419 $3,556 $2,833
Covenant Medical Center, INCSaginaw 17 $20,358 $3,624 $2,887
West Branch Regional Medical CenterWest Branch 13 $6,478 $3,794 $3,022
Promedica Charles and Virginia Hickman HospitalAdrian 12 $22,576 $3,761 $2,996
Mercy Hospital - CadillacCadillac 12 $10,195 $3,794 $3,022
Chippewa County War Memorial HospitalSault Sainte Marie 11 $8,464 $3,794 $3,022
St Mary Mercy HospitalLivonia – – – –
Providence Hospital and Medical CentersSouthfield – – – –
Beaumont Hospital - DearbornDearborn – – – –
Alpena Regional Medical CenterAlpena – – – –
Mercy Hospital - GraylingGrayling – – – –
Trinity Health Muskegon HospitalMuskegon – – – –
Saint Joseph Mercy Livingston HospitalHowell – – – –
Central Michigan Community HospitalMt Pleasant – – – –
Corewell Health Big Rapids HospitalBig Rapids – – – –
Memorial HealthcareOwosso – – – –
Otsego Memorial HospitalGaylord – – – –
McLaren Regional Medical CenterFlint – – – –
Forest Health Medical CenterYpsilanti – – – –
Henry Ford Wyandotte HospitalWyandotte – – – –
Corewell Health Trenton HospitalTrenton – – – –
Midmichigan Medical Center-ClareClare – – – –
Lapeer Regional Medical CenterLapeer – – – –
Henry Ford Health Warren HospitalWarren – – – –
Port Huron HospitalPort Huron – – – –
Oaklawn HospitalMarshall – – – –
Chelsea Community HospitalChelsea – – – –
William Beaumont Hospital-TroyTroy – – – –
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Lowest and highest allowed amounts in Michigan

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Michigan?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 41 hospitals in Michigan was billed at $20,694 on average, while the average medicare-allowed amount was $3,552, of which Medicare paid $2,821. 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 Michigan, average charges were 5.8 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.