facebook tracking Level 2 Intraocular Procedures cost in Virginia: 20 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Virginia

What 20 hospitals in Virginia charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $19,764 Hospital list price billed
Average allowed $3,704 Medicare's payment + patient's share
Medicare paid $2,940 Average per service
State rank #25 of 44 1 = lowest average payment

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.

Paid $3,704Billed $19,764

About 19¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 2 intraocular procedures

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 – – – –
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Lowest and highest allowed amounts in Virginia

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

Highest

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

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Virginia?

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.

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 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.