facebook tracking Level 3 Intraocular Procedures cost in Florida: 23 hospitals compared (APC 5493)

Level 3 Intraocular Procedures in Florida

What 23 hospitals in Florida charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.

APC 5493 Outpatient 2024 Medicare data
Average charge $48,786 Hospital list price billed
Average allowed $4,493 Medicare's payment + patient's share
Medicare paid $3,570 Average per service
State rank #12 of 42 1 = lowest average payment

Hospitals in Florida billed an average of $48,786 for level 3 intraocular procedures, about 10.9 times the average medicare-allowed amount of $4,493. That payment is 11% 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.

Paid $4,493Billed $48,786

About 9¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 3 intraocular procedures

Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Miami Hosp & ClinicsMiami 119 $41,063 $4,714 $3,756
Shands Hospital at the University of FloridaGainesville 26 $42,024 $2,623 $2,060
Adventhealth OrlandoOrlando 25 $40,245 $4,734 $3,772
Mayo ClinicJacksonville 23 $31,326 $4,734 $3,772
North Okaloosa Medical CenterCrestview 22 $43,084 $4,563 $3,592
Tampa General HospitalTampa 22 $98,862 $4,734 $3,772
North Broward Medical CenterPompano Beach 13 $27,188 $4,358 $3,414
St Vincent's Medical CenterJacksonville 12 $58,576 $4,735 $3,756
Northside HospitalSt Petersburg 11 $130,329 $4,734 $3,772
Shands Jacksonville Medical CenterJacksonville – – – –
Orlando Regional HealthcareOrlando – – – –
Halifax Health Medical CenterDaytona Beach – – – –
Citrus Memorial HospitalInverness – – – –
Sacred Heart HospitalPensacola – – – –
Bay Medical CenterPanama City – – – –
Sarasota Memorial HospitalSarasota – – – –
Baptist Medical CenterJacksonville – – – –
Tallahassee Memorial HealthcareTallahassee – – – –
Adventhealth TampaTampa – – – –
Cape Canaveral HospitalCocoa Beach – – – –
HCA Florida Memorial HospitalJacksonville – – – –
Imperial Point Medical CenterFort Lauderdale – – – –
Gulf Coast Medical CenterPanama City – – – –
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Lowest and highest allowed amounts in Florida

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

Highest

St Vincent's Medical CenterJacksonville, FL$4,735
Adventhealth OrlandoOrlando, FL$4,734
Tampa General HospitalTampa, FL$4,734
Mayo ClinicJacksonville, FL$4,734
Northside HospitalSt Petersburg, FL$4,734

Level 3 Intraocular Procedures in other states

Questions

How much does level 3 intraocular procedures cost in Florida?

In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 23 hospitals in Florida was billed at $48,786 on average, while the average medicare-allowed amount was $4,493, of which Medicare paid $3,570. 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 Florida, average charges were 10.9 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.