facebook tracking Level 3 Intraocular Procedures cost in Georgia: 30 hospitals compared (APC 5493)

Level 3 Intraocular Procedures in Georgia

What 30 hospitals in Georgia charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.

APC 5493 Outpatient 2024 Medicare data
Average charge $29,075 Hospital list price billed
Average allowed $4,698 Medicare's payment + patient's share
Medicare paid $3,723 Average per service
State rank #24 of 42 1 = lowest average payment

Hospitals in Georgia billed an average of $29,075 for level 3 intraocular procedures, about 6.2 times the average medicare-allowed amount of $4,698. That payment is 7% 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 $4,698Billed $29,075

About 16¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 3 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Northside HospitalAtlanta 79 $29,656 $4,851 $3,857
Northside Hospital ForsythCumming 35 $19,532 $4,851 $3,859
St Joseph's Hospital - SavannahSavannah 27 $15,158 $4,287 $3,389
Athens Regional Medical CenterAthens 21 $49,891 $4,161 $3,209
Wellstar Paulding HospitalDallas 14 $32,797 $4,851 $3,847
Emory University HospitalAtlanta 13 $35,645 $4,850 $3,865
Gordon HospitalCalhoun 12 $36,507 $4,765 $3,791
Satilla Regional Medical CenterWaycross – – – –
St Mary's HospitalAthens – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Candler HospitalSavannah – – – –
Stephens County HospitalToccoa – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Memorial Health Univ Med Cen, INCSavannah – – – –
Murray Medical CenterChatsworth – – – –
Union General HospitalBlairsville – – – –
Piedmont Columbus Regional MidtownColumbus – – – –
Emory Decatur HospitalDecatur – – – –
Grady Memorial HospitalAtlanta – – – –
Rockdale Medical CenterConyers – – – –
Tift Regional Medical CenterTifton – – – –
Wayne Memorial HospitalJesup – – – –
Fairview Park HospitalDublin – – – –
Meadows Regional Medical Center INCVidalia – – – –
Memorial Hospital and ManorBainbridge – – – –
Wellstar Douglas HospitalDouglasville – – – –
Piedmont Macon North HospitalMacon – – – –
Piedmont Newnan Hospital, INCNewnan – – – –
Northside Hospital DuluthDuluth – – – –
Blue Ridge Medical CenterBlue Ridge – – – –
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Lowest and highest allowed amounts in Georgia

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

Athens Regional Medical CenterAthens, GA$4,161
St Joseph's Hospital - SavannahSavannah, GA$4,287
Gordon HospitalCalhoun, GA$4,765
Emory University HospitalAtlanta, GA$4,850
Northside Hospital ForsythCumming, GA$4,851

Highest

Wellstar Paulding HospitalDallas, GA$4,851
Northside HospitalAtlanta, GA$4,851
Northside Hospital ForsythCumming, GA$4,851
Emory University HospitalAtlanta, GA$4,850
Gordon HospitalCalhoun, GA$4,765

Level 3 Intraocular Procedures in other states

Questions

How much does level 3 intraocular procedures cost in Georgia?

In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 30 hospitals in Georgia was billed at $29,075 on average, while the average medicare-allowed amount was $4,698, of which Medicare paid $3,723. 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 Georgia, average charges were 6.2 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.