facebook tracking Level 2 Intraocular Procedures cost in Ohio: 35 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Ohio

What 35 hospitals in Ohio charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $19,486 Hospital list price billed
Average allowed $3,159 Medicare's payment + patient's share
Medicare paid $2,502 Average per service
State rank #1 of 44 1 = lowest average payment

Hospitals in Ohio billed an average of $19,486 for level 2 intraocular procedures, about 6.2 times the average medicare-allowed amount of $3,159. That payment is 19% 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 $3,159Billed $19,486

About 16¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 2 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 644 $17,300 $3,437 $2,731
Toledo Hospital theToledo 266 $19,786 $1,668 $1,318
Ohio State University HospitalsColumbus 234 $22,180 $3,649 $2,906
University Hospitals of ClevelandCleveland 98 $19,922 $3,386 $2,679
Mercy St Vincent Medical CenterToledo 53 $33,785 $3,631 $2,889
St Joseph Health CenterWarren 49 $11,397 $3,460 $2,753
St Elizabeth Boardman Health CenterYoungstown 49 $15,448 $3,460 $2,756
Mercy Franciscan Hospital - Mt AiryCincinnati 46 $16,617 $3,536 $2,815
Hillcrest HospitalCleveland 33 $13,064 $3,471 $2,765
Metrohealth SystemCleveland 32 $16,270 $1,573 $864
Miami Valley HospitalDayton 28 $34,980 $3,559 $2,836
Good Samaritan HospitalCincinnati 22 $12,037 $3,417 $2,689
University Hospital, INCCincinnati 19 $46,242 $3,536 $2,817
Medina HospitalMedina 17 $16,511 $3,471 $2,765
Samaritan Hospital - Peoples HospitalAshland 16 $15,347 $3,287 $2,584
Grant Medical CenterColumbus 14 $49,498 $3,636 $2,883
Aultman HospitalCanton 14 $10,838 $3,460 $2,756
Upper Valley Medical CenterTroy 13 $12,658 $3,477 $2,770
Mercy Medical CenterCanton 11 $25,582 $3,460 $2,756
Marion General HospitalMarion – – – –
Summa Health System - Akron CampusAkron – – – –
Wood County HospitalBowling Green – – – –
Mercer County Joint Township Community HospitalColdwater – – – –
Fisher Titus Memorial HospitalNorwalk – – – –
St Rita's Medical CenterLima – – – –
Fairfield Medical CenterLancaster – – – –
Fairview HospitalCleveland – – – –
Bellevue HospitalBellevue – – – –
Community Hospitals and Wellness CentersBryan – – – –
Kettering Health DaytonDayton – – – –
Memorial HospitalFremont – – – –
Bethesda North HospitalCincinnati – – – –
Mary Rutan HospitalBellefontaine – – – –
Licking Memorial HospitalNewark – – – –
Ohio Valley Medical Center, LLCSpringfield – – – –
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Lowest and highest allowed amounts in Ohio

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

Metrohealth SystemCleveland, OH$1,573
Toledo Hospital theToledo, OH$1,668
Samaritan Hospital - Peoples HospitalAshland, OH$3,287
University Hospitals of ClevelandCleveland, OH$3,386
Good Samaritan HospitalCincinnati, OH$3,417

Highest

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Ohio?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 35 hospitals in Ohio was billed at $19,486 on average, while the average medicare-allowed amount was $3,159, of which Medicare paid $2,502. 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 Ohio, average charges were 6.2 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.