Level 2 Intraocular Procedures in Wisconsin
What 30 hospitals in Wisconsin charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Average charge
$21,109
Hospital list price billed
Average allowed
$3,739
Medicare's payment + patient's share
Medicare paid
$2,970
Average per service
State rank
#26 of 44
1 = lowest average payment
Hospitals in Wisconsin billed an average of $21,109 for level 2 intraocular procedures, about 5.6 times the average medicare-allowed amount of $3,739. 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 $3,739Billed $21,109
About 18¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 intraocular procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Aurora St Lukes Medical CenterMilwaukee | 252 | $31,015 | $3,808 | $3,030 |
| University of Wi Hospitals & Clinics AuthorityMadison | 226 | $19,061 | $3,769 | $2,997 |
| Froedtert Mem Lutheran HsptlMilwaukee | 215 | $26,521 | $3,755 | $2,976 |
| Gundersen Luth Med CtrLa Crosse | 205 | $16,759 | $3,802 | $3,022 |
| Aurora Baycare Med CtrGreen Bay | 169 | $17,413 | $3,626 | $2,874 |
| Thedacare Regional Med Ctr - NeenahNeenah | 133 | $14,075 | $3,616 | $2,872 |
| St Vincent HsptlGreen Bay | 66 | $19,153 | $3,620 | $2,870 |
| St Clare Hsptl Hlth SvcsBaraboo | 36 | $14,519 | $3,707 | $2,954 |
| Luther Hospital Mayo Health SystemEau Claire | 34 | $25,928 | $3,676 | $2,892 |
| Oakleaf Surgical HospitalEau Claire | 32 | $19,022 | $3,654 | $2,907 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 30 | $17,212 | $3,704 | $2,951 |
| Mercy Hlth Sys CorpJanesville | 29 | $19,185 | $3,704 | $2,951 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 28 | $11,122 | $3,824 | $3,044 |
| Beloit Mem HsptlBeloit | 24 | $26,571 | $3,954 | $3,150 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 18 | $14,526 | $3,826 | $3,048 |
| Aurora Med Ctr OshkoshOshkosh | 14 | $16,030 | $3,651 | $2,909 |
| Marshfield Medical CenterMarshfield | 12 | $15,731 | $3,896 | $3,104 |
| Aurora Memorial Hsptl BurlingtonBurlington | 12 | $29,464 | $3,824 | $3,047 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | – | – | – | – |
| St Elizabeth HsptlAppleton | – | – | – | – |
| Aspirus Rhinelander HospitalRhinelander | – | – | – | – |
| Monroe ClinicMonroe | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| St Josephs Com Hsptl West BendWest Bend | – | – | – | – |
| Beaver Dam Com HsptlBeaver Dam | – | – | – | – |
| Howard Young Med CtrWoodruff | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
| Marshfield Medical Center - Eau ClaireEau Claire | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $3,616 |
|---|---|
| St Vincent HsptlGreen Bay, WI | $3,620 |
| Aurora Baycare Med CtrGreen Bay, WI | $3,626 |
| Aurora Med Ctr OshkoshOshkosh, WI | $3,651 |
| Oakleaf Surgical HospitalEau Claire, WI | $3,654 |
Highest
| Beloit Mem HsptlBeloit, WI | $3,954 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $3,896 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $3,826 |
| SSM Health St Mary's Hospital - JanesvilleJanesville, WI | $3,824 |
| Aurora Memorial Hsptl BurlingtonBurlington, WI | $3,824 |
Level 2 Intraocular Procedures in other states
Questions
How much does level 2 intraocular procedures cost in Wisconsin?
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 30 hospitals in Wisconsin was billed at $21,109 on average, while the average medicare-allowed amount was $3,739, of which Medicare paid $2,970. 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 Wisconsin, average charges were 5.6 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.