Level 3 Intraocular Procedures in Illinois
What 45 hospitals in Illinois charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$34,459
Hospital list price billed
Average allowed
$4,936
Medicare's payment + patient's share
Medicare paid
$3,929
Average per service
State rank
#30 of 42
1 = lowest average payment
Hospitals in Illinois billed an average of $34,459 for level 3 intraocular procedures, about 7.0 times the average medicare-allowed amount of $4,936. That payment is 2% 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 $4,936Billed $34,459
About 14¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 3 intraocular procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Illinois
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
| Proctor HospitalPeoria, IL | $4,723 |
|---|---|
| St Johns HospitalSpringfield, IL | $4,830 |
| OSF Sacred Heart Medical CenterDanville, IL | $4,830 |
| OSF Heart of Mary Medical CenterUrbana, IL | $4,830 |
| Cgh Medical CenterSterling, IL | $4,830 |
Highest
| St Alexius Medical CenterSchaumburg, IL | $5,084 |
|---|---|
| Northwestern Memorial HospitalChicago, IL | $5,083 |
| Macneal HospitalBerwyn, IL | $5,083 |
| Rush University Medical CenterChicago, IL | $5,083 |
| University of Illinois Hospital and ClinicsChicago, IL | $5,083 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Illinois?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 45 hospitals in Illinois was billed at $34,459 on average, while the average medicare-allowed amount was $4,936, of which Medicare paid $3,929. 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 Illinois, average charges were 7.0 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.