facebook tracking Level 2 Intraocular Procedures cost in Washington: 16 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in Washington

What 16 hospitals in Washington charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $22,210 Hospital list price billed
Average allowed $4,157 Medicare's payment + patient's share
Medicare paid $3,305 Average per service
State rank #36 of 44 1 = lowest average payment

Hospitals in Washington billed an average of $22,210 for level 2 intraocular procedures, about 5.3 times the average medicare-allowed amount of $4,157. That payment is 6% above 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 $4,157Billed $22,210

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

Washington hospitals: level 2 intraocular procedures

Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Valley Medical CenterRenton 194 $15,751 $4,101 $3,256
University of Washington Medical CtrSeattle 148 $17,034 $4,081 $3,250
Confluence Health HospitalWenatchee 147 $18,431 $4,379 $3,484
Tacoma General HospitalTacoma 140 $31,391 $4,189 $3,336
Harborview Medical CenterSeattle 88 $32,970 $4,044 $3,214
Providence Holy Family HospitalSpokane 51 $14,767 $4,081 $3,251
Virginia Mason Medical CenterSeattle 31 $30,134 $3,869 $3,031
Peacehealth St Joseph Medical CenterBellingham 24 $28,497 $4,370 $3,482
Overlake Hospital Medical CenterBellevue 16 $30,899 $4,152 $3,308
Swedish Medical CenterSeattle 13 $28,554 $4,357 $3,471
Providence Regional Medical Center EverettEverett 11 $31,683 $4,152 $3,308
Providence St Mary Medical CenterWalla Walla – – – –
St Michael Medical CenterBremerton – – – –
S W Washington Medical CenterVancouver – – – –
Group Health Central HospitalSeattle – – – –
Evergreenhealth Medical CenterKirkland – – – –
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Lowest and highest allowed amounts in Washington

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in Washington?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 16 hospitals in Washington was billed at $22,210 on average, while the average medicare-allowed amount was $4,157, of which Medicare paid $3,305. 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 Washington, 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.