facebook tracking Level 2 Intraocular Procedures cost in North Carolina: 40 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in North Carolina

What 40 hospitals in North Carolina charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $19,862 Hospital list price billed
Average allowed $3,633 Medicare's payment + patient's share
Medicare paid $2,886 Average per service
State rank #22 of 44 1 = lowest average payment

Hospitals in North Carolina billed an average of $19,862 for level 2 intraocular procedures, about 5.5 times the average medicare-allowed amount of $3,633. That payment is 7% 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 $3,633Billed $19,862

About 18¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Duke University Medical CenterDurham 526 $20,735 $3,656 $2,911
Presbyterian HospitalCharlotte 446 $14,315 $3,608 $2,865
Rex HospitalRaleigh 302 $14,733 $3,603 $2,857
New Hanover Regional Medical CenterWilmington 213 $18,686 $3,733 $2,960
Memorial Mission Hospital and Asheville Surgery CeAsheville 192 $31,651 $3,509 $2,789
Forsyth Memorial HospitalWinston-Salem 147 $12,312 $3,686 $2,930
North Carolina Baptist HospitalWinston-Salem 143 $58,432 $3,652 $2,901
Carolina East Medical CenterNew Bern 111 $12,841 $3,789 $3,019
Duke Health Raleigh HospitalRaleigh 84 $16,160 $3,626 $2,882
UNC HospitalsChapel Hill 78 $15,739 $3,637 $2,881
Margaret R Pardee Mem HospitalHendersonville 76 $17,783 $3,501 $2,781
Medical Park HospitalWinston-Salem 76 $15,781 $3,628 $2,874
Onslow Memorial HospitalJacksonville 65 $12,520 $3,696 $2,926
Highsmith-Rainey Memorial HospFayetteville 52 $7,857 $3,538 $2,819
Grace Hospital INCMorganton 49 $36,057 $3,538 $2,819
North Carolina Eye & Ear HospDurham 42 $10,564 $3,668 $2,913
Nash General HospitalRocky Mount 36 $12,657 $3,436 $2,705
Rowan Regional Medical CenterSalisbury 24 $17,099 $3,653 $2,911
Catawba Valley Medical CenterHickory 17 $18,970 $3,599 $2,867
Moses H Cone Memorial Hospital, theGreensboro 16 $26,764 $3,647 $2,906
ECU Health Medical CenterGreenville 15 $25,418 $3,538 $2,819
Alamance Regional Medical CenterBurlington 12 $11,849 $3,713 $2,958
Wayne Memorial HospitalGoldsboro 11 $16,789 $4,143 $3,301
Carolinas Medical Center-NortheastConcord – – – –
Scotland Memorial HospitalLaurinburg – – – –
C J Harris Community HospitalSylva – – – –
Iredell Memorial Hospital INCStatesville – – – –
Betsy Johnson Regional HospitalDunn – – – –
Johnston Memorial HospitalSmithfield – – – –
Duplin General HospitalKenansville – – – –
Randolph HospitalAsheboro – – – –
Granville Medical CenterOxford – – – –
Lake Norman Regional Medical CenterMooresville – – – –
Carolinas Medical Center-UnionMonroe – – – –
ECU Health North HospitalRoanoke Rapids – – – –
Brunswick Community HospitalSupply – – – –
Carolinas Med Ctr-UniversityCharlotte – – – –
Presbyterian Hospital HuntersvilleHuntersville – – – –
Haywood Regional Medical CenterClyde – – – –
Davie Medical CenterBermuda Run – – – –
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Lowest and highest allowed amounts in North Carolina

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

Nash General HospitalRocky Mount, NC$3,436
Margaret R Pardee Mem HospitalHendersonville, NC$3,501
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$3,509
ECU Health Medical CenterGreenville, NC$3,538
Grace Hospital INCMorganton, NC$3,538

Highest

Wayne Memorial HospitalGoldsboro, NC$4,143
Carolina East Medical CenterNew Bern, NC$3,789
New Hanover Regional Medical CenterWilmington, NC$3,733
Alamance Regional Medical CenterBurlington, NC$3,713
Onslow Memorial HospitalJacksonville, NC$3,696

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in North Carolina?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 40 hospitals in North Carolina was billed at $19,862 on average, while the average medicare-allowed amount was $3,633, of which Medicare paid $2,886. 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 North Carolina, 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.