What 40 hospitals in North Carolina charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
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.
About 18¢ was paid for every $1 hospitals in North Carolina billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.