What 20 hospitals in Missouri charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
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.
About 17¢ was paid for every $1 hospitals in Missouri billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.