Level 3 Intraocular Procedures in Massachusetts
What 15 hospitals in Massachusetts charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$14,432
Hospital list price billed
Average allowed
$5,605
Medicare's payment + patient's share
Medicare paid
$4,463
Average per service
State rank
#37 of 42
1 = lowest average payment
Hospitals in Massachusetts billed an average of $14,432 for level 3 intraocular procedures, about 2.6 times the average medicare-allowed amount of $5,605. That payment is 11% above 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 $5,605Billed $14,432
About 39¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 intraocular procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston | 246 | $13,498 | $5,613 | $4,472 |
| Lahey Clinic HospitalBurlington | 100 | $9,077 | $5,613 | $4,472 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 55 | $16,773 | $5,613 | $4,470 |
| Tufts Medical CenterBoston | 51 | $14,606 | $5,525 | $4,385 |
| Umass Memorial Medical Center INCWorcester | 39 | $31,267 | $5,613 | $4,472 |
| Baystate Medical CenterSpringfield | 33 | $12,977 | $5,613 | $4,472 |
| Boston Medical Center CorporationBoston | 15 | $15,725 | $5,613 | $4,472 |
| Healthalliance Hospitals, INCLeominster | – | – | – | – |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Baystate Franklin Medical CenterGreenfield | – | – | – | – |
| Marlborough HospitalMarlborough | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Beth Israel Deaconess Medical CenterBoston | – | – | – | – |
| South Shore HospitalSouth Weymouth | – | – | – | – |
| Newton-Wellesley HospitalNewton Lower Falls | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Tufts Medical CenterBoston, MA | $5,525 |
|---|---|
| Boston Medical Center CorporationBoston, MA | $5,613 |
| Baystate Medical CenterSpringfield, MA | $5,613 |
| Umass Memorial Medical Center INCWorcester, MA | $5,613 |
| Lahey Clinic HospitalBurlington, MA | $5,613 |
Highest
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $5,613 |
|---|---|
| Massachusetts Eye and Ear InfirmaryBoston, MA | $5,613 |
| Boston Medical Center CorporationBoston, MA | $5,613 |
| Baystate Medical CenterSpringfield, MA | $5,613 |
| Umass Memorial Medical Center INCWorcester, MA | $5,613 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Massachusetts?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 15 hospitals in Massachusetts was billed at $14,432 on average, while the average medicare-allowed amount was $5,605, of which Medicare paid $4,463. 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 Massachusetts, average charges were 2.6 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.