What 35 hospitals in Ohio charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
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.
About 16¢ was paid for every $1 hospitals in Ohio billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| Ohio State University HospitalsColumbus, OH | $3,649 |
|---|---|
| Grant Medical CenterColumbus, OH | $3,636 |
| Mercy St Vincent Medical CenterToledo, OH | $3,631 |
| Miami Valley HospitalDayton, OH | $3,559 |
| Mercy Franciscan Hospital - Mt AiryCincinnati, OH | $3,536 |
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.
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.