Level 2 Intraocular Procedures in Tennessee
What 14 hospitals in Tennessee charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Average charge
$29,949
Hospital list price billed
Average allowed
$3,430
Medicare's payment + patient's share
Medicare paid
$2,718
Average per service
State rank
#11 of 44
1 = lowest average payment
Hospitals in Tennessee billed an average of $29,949 for level 2 intraocular procedures, about 8.7 times the average medicare-allowed amount of $3,430. That payment is 13% 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 $3,430Billed $29,949
About 11¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 2 intraocular procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 178 | $32,035 | $3,323 | $2,631 |
| Centennial Medical CenterNashville | 160 | $41,842 | $3,445 | $2,730 |
| Jackson-Madison Cnty Gen HospJackson | 137 | $21,611 | $3,604 | $2,858 |
| Erlanger Medical CenterChattanooga | 103 | $15,195 | $3,444 | $2,737 |
| St Francis HospitalMemphis | 65 | $44,109 | $3,331 | $2,627 |
| Baptist Memorial HospitalMemphis | 33 | $21,978 | $3,355 | $2,652 |
| Vanderbilt Wilson County HospitalLebanon | 15 | $26,055 | $3,503 | $2,791 |
| Univ of Tn Mem HospitalKnoxville | 11 | $10,775 | $3,353 | $2,666 |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Methodist Healthcare-MemphisMemphis | – | – | – | – |
| Memorial Healthcare System, INCChattanooga | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
Lowest and highest allowed amounts in Tennessee
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
| Vanderbilt University HospitalNashville, TN | $3,323 |
|---|---|
| St Francis HospitalMemphis, TN | $3,331 |
| Univ of Tn Mem HospitalKnoxville, TN | $3,353 |
| Baptist Memorial HospitalMemphis, TN | $3,355 |
| Erlanger Medical CenterChattanooga, TN | $3,444 |
Highest
| Jackson-Madison Cnty Gen HospJackson, TN | $3,604 |
|---|---|
| Vanderbilt Wilson County HospitalLebanon, TN | $3,503 |
| Centennial Medical CenterNashville, TN | $3,445 |
| Erlanger Medical CenterChattanooga, TN | $3,444 |
| Baptist Memorial HospitalMemphis, TN | $3,355 |
Level 2 Intraocular Procedures in other states
Questions
How much does level 2 intraocular procedures cost in Tennessee?
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 14 hospitals in Tennessee was billed at $29,949 on average, while the average medicare-allowed amount was $3,430, of which Medicare paid $2,718. 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 Tennessee, average charges were 8.7 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.