What 4 hospitals in Nevada charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in Nevada billed an average of $59,480 for level 2 intraocular procedures, about 12.9 times the average medicare-allowed amount of $4,593. That payment is 17% 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.
About 8¢ was paid for every $1 hospitals in Nevada billed for this service.
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northern Nevada Medical CenterSparks | 234 | $47,307 | $4,864 | $3,860 |
| Sunrise Hospital and Medical CenterLas Vegas | 109 | $83,552 | $4,297 | $3,412 |
| Summerlin Hospital Medical CenterLas Vegas | 83 | $75,470 | $4,320 | $3,435 |
| Renown Regional Medical CenterReno | 35 | $27,983 | $4,354 | $3,469 |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Sunrise Hospital and Medical CenterLas Vegas, NV | $4,297 |
|---|---|
| Summerlin Hospital Medical CenterLas Vegas, NV | $4,320 |
| Renown Regional Medical CenterReno, NV | $4,354 |
| Northern Nevada Medical CenterSparks, NV | $4,864 |
| Northern Nevada Medical CenterSparks, NV | $4,864 |
|---|---|
| Renown Regional Medical CenterReno, NV | $4,354 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $4,320 |
| Sunrise Hospital and Medical CenterLas Vegas, NV | $4,297 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 4 hospitals in Nevada was billed at $59,480 on average, while the average medicare-allowed amount was $4,593, of which Medicare paid $3,648. 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 Nevada, average charges were 12.9 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.