Level 3 Intraocular Procedures
What 792 hospitals in the U.S. charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$28,408
Hospital list price billed
Average allowed
$5,041
Medicare's payment + patient's share
Medicare paid
$4,004
Average per service
Volume
10,246
Medicare services
Hospitals in the U.S. billed an average of $28,408 for level 3 intraocular procedures, about 5.6 times the average medicare-allowed amount of $5,041.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Barnes-Jewish West County HospitalSt Louis, MO | $1,861 |
|---|---|
| Toledo Hospital theToledo, OH | $1,896 |
| Gettysburg HospitalGettysburg, PA | $2,060 |
| Shands Hospital at the University of FloridaGainesville, FL | $2,623 |
| Fletcher Allen Hospital of VermontBurlington, VT | $2,809 |
| University of Kansas HospitalKansas City, KS | $2,837 |
| MUSC Medical CenterCharleston, SC | $3,105 |
| Columbus Community HospitalColumbus, NE | $3,111 |
| UPMC MemorialYork, PA | $3,146 |
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | $4,154 |
Highest
| Peninsula Medical CenterBurlingame, CA | $7,386 |
|---|---|
| Stanford HospitalPalo Alto, CA | $7,360 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA | $7,201 |
| Good Samaritan HospitalSan Jose, CA | $7,197 |
| UCSF Medical CenterSan Francisco, CA | $7,169 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $6,730 |
| University of California Davis Medical CenterSacramento, CA | $6,515 |
| Torrance Memorial Medical CenterTorrance, CA | $6,426 |
| Loma Linda University Medical CenterLoma Linda, CA | $6,426 |
| Sharp Memorial HospitalSan Diego, CA | $6,426 |
Level 3 Intraocular Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 19 | $20,154 | $4,329 | $4,154 – $4,621 |
| Alaska | 1 | – | – | – |
| Arizona | 4 | $29,387 | $4,891 | $4,837 – $4,997 |
| Arkansas | 5 | $23,824 | $4,361 | $4,083 – $4,430 |
| California | 71 | $46,084 | $6,777 | $6,227 – $7,386 |
| Colorado | 9 | $24,860 | $4,938 | $4,916 – $4,975 |
| Connecticut | 10 | $16,769 | $5,730 | $5,272 – $5,882 |
| Delaware | 2 | $12,172 | $5,244 | $5,244 – $5,244 |
| Florida | 23 | $48,786 | $4,493 | $2,623 – $4,735 |
| Georgia | 30 | $29,075 | $4,698 | $4,161 – $4,851 |
| Hawaii | 3 | $19,123 | $4,643 | $4,643 – $4,643 |
| Idaho | 4 | $45,877 | $4,577 | $4,449 – $4,704 |
| Illinois | 45 | $34,459 | $4,936 | $4,723 – $5,084 |
| Indiana | 20 | $28,770 | $4,738 | $4,659 – $4,915 |
| Iowa | 12 | $22,818 | $4,572 | $4,471 – $4,788 |
| Kansas | 9 | $22,113 | $4,295 | $2,837 – $4,564 |
| Kentucky | 9 | $27,246 | $4,515 | $4,500 – $4,526 |
| Louisiana | 27 | $31,556 | $4,379 | $4,278 – $4,483 |
| Maine | 3 | – | – | – – – |
| Massachusetts | 15 | $14,432 | $5,605 | $5,525 – $5,613 |
| Michigan | 30 | $31,072 | $4,611 | $3,547 – $4,876 |
| Minnesota | 21 | $20,250 | $5,112 | $4,581 – $5,293 |
| Mississippi | 11 | $26,851 | $4,347 | $4,268 – $4,482 |
| Missouri | 23 | $21,276 | $4,350 | $1,861 – $4,982 |
| Montana | 6 | $14,117 | $4,846 | $4,818 – $4,900 |
| Nebraska | 7 | $13,668 | $4,339 | $3,111 – $4,710 |
| Nevada | 4 | $83,136 | $5,630 | $5,141 – $6,002 |
| New Hampshire | 3 | $18,372 | $5,339 | $5,339 – $5,339 |
| New Jersey | 15 | $34,281 | $5,660 | $5,472 – $5,948 |
| New Mexico | 4 | $42,348 | $4,606 | $4,552 – $4,626 |
| New York | 41 | $33,857 | $5,809 | $5,541 – $5,947 |
| North Carolina | 41 | $23,074 | $4,719 | $4,307 – $4,871 |
| North Dakota | 2 | $14,677 | $5,184 | $4,900 – $5,248 |
| Ohio | 29 | $23,082 | $3,979 | $1,896 – $4,691 |
| Oklahoma | 12 | $31,479 | $4,514 | $4,438 – $4,823 |
| Oregon | 8 | $24,660 | $5,499 | $5,398 – $5,811 |
| Pennsylvania | 38 | $25,289 | $4,691 | $2,060 – $5,509 |
| Rhode Island | 2 | $12,939 | $5,304 | $5,304 – $5,304 |
| South Carolina | 11 | $31,042 | $3,904 | $3,105 – $4,647 |
| South Dakota | 7 | $17,630 | $4,957 | $4,805 – $5,248 |
| Tennessee | 17 | $34,501 | $4,479 | $4,220 – $4,687 |
| Texas | 51 | $32,192 | $4,601 | $2,652 – $4,846 |
| Utah | 14 | $24,601 | $4,577 | $4,093 – $4,682 |
| Vermont | 2 | $18,796 | $2,809 | $2,809 – $2,809 |
| Virginia | 22 | $23,151 | $4,586 | $4,466 – $5,052 |
| Washington | 14 | $25,209 | $5,333 | $5,071 – $5,811 |
| West Virginia | 5 | $16,360 | $4,379 | $4,324 – $4,431 |
| Wisconsin | 27 | $23,454 | $4,795 | $4,539 – $5,009 |
| Wyoming | 1 | $8,939 | $4,805 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston, MA | 246 | $13,498 | $5,613 |
| Wills Eye HospitalPhiladelphia, PA | 206 | $17,348 | $5,058 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 142 | $24,268 | $5,293 |
| Carolina East Medical CenterNew Bern, NC | 140 | $21,764 | $4,871 |
| UCLA Medical CenterLos Angeles, CA | 127 | $24,804 | $6,426 |
| Mercy Hospital SpringfieldSpringfield, MO | 125 | $22,298 | $4,339 |
| Onecore HealthOklahoma City, OK | 125 | $39,488 | $4,503 |
| Cleveland Clinic - Main CampusCleveland, OH | 120 | $19,399 | $4,462 |
| Univ of Miami Hosp & ClinicsMiami, FL | 119 | $41,063 | $4,714 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | 118 | $20,029 | $4,587 |
| Willis Knighton Medical CenterShreveport, LA | 113 | $22,196 | $4,434 |
| Fresno Surgical HospitalFresno, CA | 112 | $15,898 | $6,391 |
| Hartford HospitalHartford, CT | 107 | $15,189 | $5,830 |
| Riverside Regional Medical CenterNewport News, VA | 107 | $14,497 | $4,466 |
| Stanford HospitalPalo Alto, CA | 106 | $78,746 | $7,360 |
Questions
How much does level 3 intraocular procedures cost in the U.S.?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 792 hospitals in the U.S. was billed at $28,408 on average, while the average medicare-allowed amount was $5,041, of which Medicare paid $4,004. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 3 intraocular procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($6,777), New York ($5,809), Connecticut ($5,730) and lowest in South Carolina ($3,904), Ohio ($3,979), Kansas ($4,295).
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 the U.S., 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.