What 20 hospitals in New Jersey charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in New Jersey billed an average of $23,826 for level 2 intraocular procedures, about 5.5 times the average medicare-allowed amount of $4,324. That payment is 10% 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 18¢ was paid for every $1 hospitals in New Jersey billed for this service.
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Monmouth Medical Center-Southern CampusLakewood, NJ | $4,158 |
|---|---|
| Shore Memorial HospitalSomers Point, NJ | $4,165 |
| Community Medical CenterToms River, NJ | $4,201 |
| Riverview Medical CenterRed Bank, NJ | $4,226 |
| Capital Health System-Mercer CampusTrenton, NJ | $4,257 |
| Valley HospitalRidgewood, NJ | $4,627 |
|---|---|
| Umdnj University HospitalNewark, NJ | $4,576 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $4,489 |
| Jfk Medical CenterEdison, NJ | $4,313 |
| Clara Maass Medical CenterBelleville, NJ | $4,309 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 20 hospitals in New Jersey was billed at $23,826 on average, while the average medicare-allowed amount was $4,324, of which Medicare paid $3,432. 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 New Jersey, average charges were 5.5 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.