Level 3 Intraocular Procedures in Idaho
What 4 hospitals in Idaho charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$45,877
Hospital list price billed
Average allowed
$4,577
Medicare's payment + patient's share
Medicare paid
$3,606
Average per service
State rank
#16 of 42
1 = lowest average payment
Hospitals in Idaho billed an average of $45,877 for level 3 intraocular procedures, about 10.0 times the average medicare-allowed amount of $4,577. That payment is 9% 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 $4,577Billed $45,877
About 10¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 3 intraocular procedures
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| West Valley Medical CenterCaldwell | 14 | $46,676 | $4,704 | $3,733 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 14 | $45,079 | $4,449 | $3,480 |
| St Lukes Regional Medical CenterBoise | – | – | – | – |
| St Alphonsus Regional Medical CenterBoise | – | – | – | – |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Idaho?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 4 hospitals in Idaho was billed at $45,877 on average, while the average medicare-allowed amount was $4,577, of which Medicare paid $3,606. 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 Idaho, average charges were 10.0 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.