What 12 hospitals in Iowa charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
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.
About 20¢ was paid for every $1 hospitals in Iowa billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| Trinity Regional Medical CenterFort Dodge, IA | $4,788 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $4,590 |
| Mary Greeley Medical CenterAmes, IA | $4,488 |
| Iowa Methodist Medical CenterDes Moines, IA | $4,488 |
| Broadlawns Medical CenterDes Moines, IA | $4,486 |
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.
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.