Level 3 Intraocular Procedures in Connecticut
What 10 hospitals in Connecticut charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$16,769
Hospital list price billed
Average allowed
$5,730
Medicare's payment + patient's share
Medicare paid
$4,561
Average per service
State rank
#40 of 42
1 = lowest average payment
Hospitals in Connecticut billed an average of $16,769 for level 3 intraocular procedures, about 2.9 times the average medicare-allowed amount of $5,730. That payment is 14% above 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.
Paid $5,730Billed $16,769
About 34¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 intraocular procedures
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hartford HospitalHartford | 107 | $15,189 | $5,830 | $4,644 |
| Yale-New Haven HospitalNew Haven | 82 | $19,437 | $5,882 | $4,685 |
| Greenwich Hospital AssociationGreenwich | 59 | $18,471 | $5,272 | $4,182 |
| Lawrence & Memorial HospitalNew London | 22 | $14,656 | $5,830 | $4,645 |
| Day Kimball HospitalPutnam | 15 | $9,866 | $5,830 | $4,645 |
| Stamford HospitalStamford | – | – | – | – |
| Bridgeport HospitalBridgeport | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| William W Backus HospitalNorwich | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
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
| Greenwich Hospital AssociationGreenwich, CT | $5,272 |
|---|---|
| Day Kimball HospitalPutnam, CT | $5,830 |
| Lawrence & Memorial HospitalNew London, CT | $5,830 |
| Hartford HospitalHartford, CT | $5,830 |
| Yale-New Haven HospitalNew Haven, CT | $5,882 |
Highest
| Yale-New Haven HospitalNew Haven, CT | $5,882 |
|---|---|
| Hartford HospitalHartford, CT | $5,830 |
| Day Kimball HospitalPutnam, CT | $5,830 |
| Lawrence & Memorial HospitalNew London, CT | $5,830 |
| Greenwich Hospital AssociationGreenwich, CT | $5,272 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Connecticut?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 10 hospitals in Connecticut was billed at $16,769 on average, while the average medicare-allowed amount was $5,730, of which Medicare paid $4,561. 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 Connecticut, average charges were 2.9 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.