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

Level 2 Intraocular Procedures in New Jersey

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

APC 5492 Outpatient 2024 Medicare data
Average charge $23,826 Hospital list price billed
Average allowed $4,324 Medicare's payment + patient's share
Medicare paid $3,432 Average per service
State rank #38 of 44 1 = lowest average payment

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.

Paid $4,324Billed $23,826

About 18¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Clara Maass Medical CenterBelleville 359 $15,410 $4,309 $3,419
Monmouth Medical Center-Southern CampusLakewood 171 $17,477 $4,158 $3,291
Robert Wood Johnson University HospitalNew Brunswick 169 $19,435 $4,489 $3,556
Capital Health System-Mercer CampusTrenton 155 $60,302 $4,257 $3,388
Valley HospitalRidgewood 83 $22,278 $4,627 $3,686
Community Medical CenterToms River 61 $16,066 $4,201 $3,336
Riverview Medical CenterRed Bank 41 $20,398 $4,226 $3,350
Shore Memorial HospitalSomers Point 37 $24,453 $4,165 $3,300
Umdnj University HospitalNewark 36 $23,910 $4,576 $3,646
Jfk Medical CenterEdison 25 $20,283 $4,313 $3,437
Hackensack University Medical CenterHackensack – – – –
St Mary's HospitalPassaic – – – –
Morristown Memorial HospitalMorristown – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Robert Wood Johnson University Hospital at RahwayRahway – – – –
Saint Clare's HospitalDenville – – – –
Virtua Memorial Hospital of Burlington CountyMt Holly – – – –
Jersey City Medical CenterJersey City – – – –
Carewell Health Medical CenterEast Orange – – – –
Saint Michael's Medical CenterNewark – – – –
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Lowest and highest allowed amounts in New Jersey

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

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

Highest

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

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in New Jersey?

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.

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 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.