Level 2 Intraocular Procedures in Pennsylvania
What 50 hospitals in Pennsylvania charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Average charge
$24,330
Hospital list price billed
Average allowed
$3,746
Medicare's payment + patient's share
Medicare paid
$2,981
Average per service
State rank
#27 of 44
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $24,330 for level 2 intraocular procedures, about 6.5 times the average medicare-allowed amount of $3,746. That payment is 5% 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 $3,746Billed $24,330
About 15¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 2 intraocular procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Wills Eye HospitalPhiladelphia | 1,059 | $16,492 | $3,947 | $3,143 |
| UPMC MercyPittsburgh | 467 | $29,917 | $3,617 | $2,876 |
| Penn Presbyterian Medical CenterPhiladelphia | 127 | $47,717 | $4,096 | $3,261 |
| Geisinger Medical CenterDanville | 109 | $60,355 | $3,631 | $2,893 |
| Saint Vincent Health CenterErie | 80 | $16,624 | $4,285 | $3,414 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 77 | $57,354 | $2,513 | $1,995 |
| Robert Packer HospitalSayre | 76 | $17,612 | $3,698 | $2,937 |
| Lehigh Valley HospitalAllentown | 60 | $32,283 | $3,913 | $3,107 |
| Allegheny General HospitalPittsburgh | 59 | $13,501 | $3,631 | $2,892 |
| Highlands HospitalConnellsville | 54 | $5,365 | $3,632 | $2,891 |
| Holy Spirit HospitalCamp Hill | 49 | $35,203 | $3,584 | $2,841 |
| Edgewood Surgical HospitalTransfer | 49 | $13,809 | $3,632 | $2,890 |
| Reading Hospital and Med CtrWest Reading | 46 | $31,639 | $3,715 | $2,960 |
| Geisinger Medical Center MuncyMuncy | 44 | $10,300 | $3,631 | $2,893 |
| St Clair Memorial HospitalPittsburgh | 35 | $18,219 | $3,631 | $2,893 |
| Lewistown HospitalLewistown | 33 | $14,588 | $1,453 | $1,155 |
| Lansdale HospitalLansdale | 27 | $13,475 | $3,702 | $2,926 |
| UPMC St MargaretPittsburgh | 26 | $33,543 | $3,520 | $2,775 |
| Crozer Chester Medical CenterChester | 21 | $13,520 | $3,499 | $2,788 |
| Riddle Memorial HospitalMedia | 19 | $27,681 | $3,950 | $3,137 |
| Mount Nittany Medical CenterState College | 15 | $24,094 | $4,103 | $3,269 |
| Phoenixville HospitalPhoenixville | 14 | $24,035 | $3,922 | $3,125 |
| Main Line Hospital LankenauWynnewood | 14 | $22,143 | $3,922 | $3,125 |
| UPMC MemorialYork | 13 | $13,059 | $1,502 | $1,197 |
| Clarion HospitalClarion | 12 | $4,733 | $3,890 | $3,083 |
| ACMH HospitalKittanning | 12 | $15,690 | $3,631 | $2,893 |
| Milton S Hershey Medical CenterHershey | 12 | $47,818 | $3,827 | $3,049 |
| Heritage Valley SewickleySewickley | 11 | $8,307 | $3,631 | $2,893 |
| Geisinger-Community Medical CenterScranton | – | – | – | – |
| Jameson Memorial HospitalNew Castle | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Temple University HospitalPhiladelphia | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Washington Hospital, theWashington | – | – | – | – |
| York HospitalYork | – | – | – | – |
| Grand View HospitalSellersville | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| West Penn HospitalPittsburgh | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| UPMC PassavantPittsburgh | – | – | – | – |
| Hospital of the Univ of PaPhiladelphia | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Meadville Medical CenterMeadville | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| Waynesboro HospitalWaynesboro | – | – | – | – |
| UPMC Presbyterian ShadysidePittsburgh | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Thomas Jefferson University HospitalPhiladelphia | – | – | – | – |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | – | – | – | – |
| UPMC EastMonroeville | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Lewistown HospitalLewistown, PA | $1,453 |
|---|---|
| UPMC MemorialYork, PA | $1,502 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $2,513 |
| Crozer Chester Medical CenterChester, PA | $3,499 |
| UPMC St MargaretPittsburgh, PA | $3,520 |
Highest
| Saint Vincent Health CenterErie, PA | $4,285 |
|---|---|
| Mount Nittany Medical CenterState College, PA | $4,103 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $4,096 |
| Riddle Memorial HospitalMedia, PA | $3,950 |
| Wills Eye HospitalPhiladelphia, PA | $3,947 |
Level 2 Intraocular Procedures in other states
Questions
How much does level 2 intraocular procedures cost in Pennsylvania?
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 50 hospitals in Pennsylvania was billed at $24,330 on average, while the average medicare-allowed amount was $3,746, of which Medicare paid $2,981. 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 Pennsylvania, average charges were 6.5 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.