facebook tracking Level 2 Intraocular Procedures cost in Missouri: 20 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Missouri

What 20 hospitals in Missouri charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $19,330 Hospital list price billed
Average allowed $3,360 Medicare's payment + patient's share
Medicare paid $2,667 Average per service
State rank #7 of 44 1 = lowest average payment

Hospitals in Missouri billed an average of $19,330 for level 2 intraocular procedures, about 5.8 times the average medicare-allowed amount of $3,360. That payment is 14% 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 $3,360Billed $19,330

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

Missouri hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mercy Hospital SpringfieldSpringfield 401 $18,456 $3,389 $2,694
Barnes Jewish HospitalSt Louis 345 $18,818 $3,543 $2,806
St Lukes HospitalChesterfield 231 $14,880 $3,562 $2,821
University Hospitals & ClinicsColumbia 167 $23,929 $3,427 $2,723
Truman Medical Center Hospital HillKansas City 103 $13,208 $3,515 $2,797
Barnes-Jewish West County HospitalSt Louis 102 $16,924 $1,425 $1,131
St Francis Medical CenterCape Girardeau 78 $33,752 $3,682 $2,926
Boone Hospital CenterColumbia 29 $14,724 $3,460 $2,756
St Louis University HospitalSt Louis 22 $32,661 $3,554 $2,832
St Lukes Hospital of Kansas CityKansas City 20 $43,558 $3,551 $2,829
St John's Mercy Medical CenterSt Louis 16 $19,464 $3,618 $2,883
Phelps County Regional Medical CenterRolla 11 $17,284 $3,875 $3,088
St Johns Mercy HospitalWashington 11 $11,525 $3,618 $2,883
Lester E Cox Medical CentersSpringfield – – – –
St Johns Hospital-LebanonLebanon – – – –
SSM St Joseph Hosp of KirkwoodSt Louis – – – –
Parkland Health CenterFarmington – – – –
Christian Hospital NortheastSt Louis – – – –
Barnes-Jewish St Peters HospitalSt Peters – – – –
St Louis Children's HospitalSt Louis – – – –
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Lowest and highest allowed amounts in Missouri

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

Barnes-Jewish West County HospitalSt Louis, MO$1,425
Mercy Hospital SpringfieldSpringfield, MO$3,389
University Hospitals & ClinicsColumbia, MO$3,427
Boone Hospital CenterColumbia, MO$3,460
Truman Medical Center Hospital HillKansas City, MO$3,515

Highest

Phelps County Regional Medical CenterRolla, MO$3,875
St Francis Medical CenterCape Girardeau, MO$3,682
St John's Mercy Medical CenterSt Louis, MO$3,618
St Johns Mercy HospitalWashington, MO$3,618
St Lukes HospitalChesterfield, MO$3,562

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Missouri?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 20 hospitals in Missouri was billed at $19,330 on average, while the average medicare-allowed amount was $3,360, of which Medicare paid $2,667. 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 Missouri, 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.