Level 3 Intraocular Procedures in Delaware
What 2 hospitals in Delaware charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$12,172
Hospital list price billed
Average allowed
$5,244
Medicare's payment + patient's share
Medicare paid
$4,178
Average per service
Volume
45
Medicare services
Hospitals in Delaware billed an average of $12,172 for level 3 intraocular procedures, about 2.3 times the average medicare-allowed amount of $5,244. That payment is 4% 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 $5,244Billed $12,172
About 43¢ was paid for every $1 hospitals in Delaware billed for this service.
Delaware hospitals: level 3 intraocular procedures
Every Delaware hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Nanticoke Memorial HospitalSeaford | 45 | $12,172 | $5,244 | $4,178 |
| Christiana Care Health Services, INC.Newark | – | – | – | – |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Delaware?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 2 hospitals in Delaware was billed at $12,172 on average, while the average medicare-allowed amount was $5,244, of which Medicare paid $4,178. 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 Delaware, average charges were 2.3 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.