What 23 hospitals in Florida charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
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.
About 9¢ was paid for every $1 hospitals in Florida billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Shands Hospital at the University of FloridaGainesville, FL | $2,623 |
|---|---|
| North Broward Medical CenterPompano Beach, FL | $4,358 |
| North Okaloosa Medical CenterCrestview, FL | $4,563 |
| Univ of Miami Hosp & ClinicsMiami, FL | $4,714 |
| Adventhealth OrlandoOrlando, FL | $4,734 |
| 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 |
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.
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.