What 19 hospitals in Alabama charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Hospitals in Alabama billed an average of $20,154 for level 3 intraocular procedures, about 4.7 times the average medicare-allowed amount of $4,329. That payment is 14% below the U.S. average 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.
About 21¢ was paid for every $1 hospitals in Alabama billed for this service.
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UAB Callahan Eye Hospital AuthorityBirmingham | 49 | $22,119 | $4,154 | $3,267 |
| Northeast Alabama Regional Med CenterAnniston | 23 | $23,595 | $4,621 | $3,647 |
| Russell HospitalAlexander City | 14 | $9,192 | $4,322 | $3,444 |
| Southeast Alabama Medical CenterDothan | 13 | $25,564 | $4,477 | $3,567 |
| Mobile InfirmaryMobile | 12 | $15,634 | $4,334 | $3,453 |
| Coosa Valley Medical CenterSylacauga | 11 | $16,702 | $4,333 | $3,453 |
| Baptist Medical Center SouthMontgomery | – | – | – | – |
| East Alabama Medical Center and SnfOpelika | – | – | – | – |
| University of Alabama HospitalBirmingham | – | – | – | – |
| Cullman Regional Medical CenterCullman | – | – | – | – |
| Andalusia Regional HospitalAndalusia | – | – | – | – |
| Huntsville HospitalHuntsville | – | – | – | – |
| Marion Regional Medical CenterHamilton | – | – | – | – |
| St Vincent's BirminghamBirmingham | – | – | – | – |
| Walker Baptist Medical CenterJasper | – | – | – | – |
| Providence HospitalMobile | – | – | – | – |
| Citizens Baptist Medical CenterTalladega | – | – | – | – |
| St Vincent's St ClairPell City | – | – | – | – |
| Crestwood Medical CenterHuntsville | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | $4,154 |
|---|---|
| Russell HospitalAlexander City, AL | $4,322 |
| Coosa Valley Medical CenterSylacauga, AL | $4,333 |
| Mobile InfirmaryMobile, AL | $4,334 |
| Southeast Alabama Medical CenterDothan, AL | $4,477 |
| Northeast Alabama Regional Med CenterAnniston, AL | $4,621 |
|---|---|
| Southeast Alabama Medical CenterDothan, AL | $4,477 |
| Mobile InfirmaryMobile, AL | $4,334 |
| Coosa Valley Medical CenterSylacauga, AL | $4,333 |
| Russell HospitalAlexander City, AL | $4,322 |
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 19 hospitals in Alabama was billed at $20,154 on average, while the average medicare-allowed amount was $4,329, of which Medicare paid $3,426. 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 Alabama, average charges were 4.7 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.