What 20 hospitals in Virginia charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in Virginia billed an average of $19,764 for level 2 intraocular procedures, about 5.3 times the average medicare-allowed amount of $3,704. That payment is 6% 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 19¢ was paid for every $1 hospitals in Virginia billed for this service.
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fair Oaks HospitalFairfax | 510 | $19,988 | $3,766 | $2,988 |
| Riverside Regional Medical CenterNewport News | 154 | $14,731 | $3,464 | $2,750 |
| Winchester Medical Center INCWinchester | 119 | $16,434 | $3,891 | $3,073 |
| Augusta HealthFishersville | 108 | $27,131 | $3,930 | $3,129 |
| Martha Jefferson HospitalCharlottesville | 75 | $16,056 | $3,535 | $2,816 |
| Virginia Hospital Center - ArlingtonArlington | 68 | $17,454 | $3,768 | $2,993 |
| Inova Fairfax HospitalFalls Church | 56 | $14,308 | $3,813 | $3,037 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 54 | $23,342 | $3,749 | $2,987 |
| Sentara Virginia Beach General HospitalVirginia Beach | 50 | $26,134 | $3,538 | $2,815 |
| Sentara Leigh HospitalNorfolk | 42 | $20,426 | $3,471 | $2,745 |
| Sentara Norfolk General HospitalNorfolk | 39 | $22,648 | $3,321 | $2,602 |
| Inova Alexandria HospitalAlexandria | 35 | $13,012 | $3,813 | $3,038 |
| Medical College of Virginia HospitalsRichmond | 33 | $28,708 | $3,507 | $2,791 |
| Johnston Memorial HospitalAbingdon | 23 | $25,310 | $3,500 | $2,786 |
| University of Virginia Medical CenterCharlottesville | 20 | $29,301 | $3,733 | $2,974 |
| Sentara Careplex HospitalHampton | 13 | $17,704 | $3,538 | $2,819 |
| Culpeper Regional HospitalCulpeper | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Mary Immaculate HospitalNewport News | – | – | – | – |
| Bon Secours - Memorial Regional MedicalMechanicsville | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Sentara Norfolk General HospitalNorfolk, VA | $3,321 |
|---|---|
| Riverside Regional Medical CenterNewport News, VA | $3,464 |
| Sentara Leigh HospitalNorfolk, VA | $3,471 |
| Johnston Memorial HospitalAbingdon, VA | $3,500 |
| Medical College of Virginia HospitalsRichmond, VA | $3,507 |
| Augusta HealthFishersville, VA | $3,930 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $3,891 |
| Inova Fairfax HospitalFalls Church, VA | $3,813 |
| Inova Alexandria HospitalAlexandria, VA | $3,813 |
| Virginia Hospital Center - ArlingtonArlington, VA | $3,768 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 20 hospitals in Virginia was billed at $19,764 on average, while the average medicare-allowed amount was $3,704, of which Medicare paid $2,940. 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 Virginia, average charges were 5.3 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.