facebook tracking Level 3 Intraocular Procedures cost in Iowa: 12 hospitals compared (APC 5493)

Level 3 Intraocular Procedures in Iowa

What 12 hospitals in Iowa charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.

APC 5493 Outpatient 2024 Medicare data
Average charge $22,818 Hospital list price billed
Average allowed $4,572 Medicare's payment + patient's share
Medicare paid $3,634 Average per service
State rank #15 of 42 1 = lowest average payment

Hospitals in Iowa billed an average of $22,818 for level 3 intraocular procedures, about 5.0 times the average medicare-allowed amount of $4,572. 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 $4,572Billed $22,818

About 20¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 3 intraocular procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 97 $29,882 $4,590 $3,640
Trinity Regional Medical CenterFort Dodge 25 $18,351 $4,788 $3,815
Mary Greeley Medical CenterAmes 23 $15,147 $4,488 $3,572
Broadlawns Medical CenterDes Moines 23 $16,425 $4,486 $3,574
Iowa Methodist Medical CenterDes Moines 22 $11,370 $4,488 $3,576
Sartori Memorial HospitalCedar Falls 14 $22,939 $4,471 $3,560
St Anthony Regional Hospital & Nursing HomeCarroll – – – –
Alegent Health Mercy HospitalCouncil Bluffs – – – –
Mercyone Waterloo Medical CenterWaterloo – – – –
Mercy Medical Center-DubuqueDubuque – – – –
Spencer Municipal HospitalSpencer – – – –
The Finley HospitalDubuque – – – –
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Lowest and highest allowed amounts in Iowa

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

Sartori Memorial HospitalCedar Falls, IA$4,471
Broadlawns Medical CenterDes Moines, IA$4,486
Iowa Methodist Medical CenterDes Moines, IA$4,488
Mary Greeley Medical CenterAmes, IA$4,488
University of Iowa Hospital & ClinicsIowa City, IA$4,590

Highest

Level 3 Intraocular Procedures in other states

Questions

How much does level 3 intraocular procedures cost in Iowa?

In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 12 hospitals in Iowa was billed at $22,818 on average, while the average medicare-allowed amount was $4,572, of which Medicare paid $3,634. 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 Iowa, average charges were 5.0 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.