What 21 hospitals in Minnesota charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Hospitals in Minnesota billed an average of $20,250 for level 3 intraocular procedures, about 4.0 times the average medicare-allowed amount of $5,112. That payment is 1% 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.
About 25¢ was paid for every $1 hospitals in Minnesota billed for this service.
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 142 | $24,268 | $5,293 | $4,198 |
| Park Nicollet Methodist HospitalSaint Louis Park | 58 | $16,727 | $4,996 | $3,981 |
| Buffalo HospitalBuffalo | 29 | $17,213 | $4,996 | $3,981 |
| Abbott Northwestern Hospital INCMinneapolis | 26 | $21,852 | $4,996 | $3,973 |
| Regions HospitalSt Paul | 25 | $12,660 | $4,996 | $3,981 |
| Lake Region Healthcare CorporationFergus Falls | 19 | $17,087 | $5,211 | $4,152 |
| Range Regional Health ServicesHibbing | 14 | $18,851 | $4,865 | $3,876 |
| Sanford Bemidji Medical CenterBemidji | 14 | $20,113 | $5,211 | $4,152 |
| St Lukes HospitalDuluth | 12 | $13,502 | $4,958 | $3,951 |
| Essentia Health St Mary's Medical CenterDuluth | 11 | $30,313 | $4,958 | $3,951 |
| Mayo Clinic Health System - MankatoMankato | 11 | $13,146 | $4,581 | $3,492 |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Olmsted Medical CenterRochester | – | – | – | – |
| Fairview Red Wing HospitalRed Wing | – | – | – | – |
| St Cloud HospitalSt Cloud | – | – | – | – |
| United HospitalSt Paul | – | – | – | – |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | – | – | – | – |
| Fairview Lakes Health ServicesWyoming | – | – | – | – |
| Lakeview Memorial HospitalStillwater | – | – | – | – |
| University of Minnesota Medical Center, FairviewMinneapolis | – | – | – | – |
| Fairview Northland Regional HospitalPrinceton | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mayo Clinic Health System - MankatoMankato, MN | $4,581 |
|---|---|
| Range Regional Health ServicesHibbing, MN | $4,865 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $4,958 |
| St Lukes HospitalDuluth, MN | $4,958 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $4,996 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $5,293 |
|---|---|
| Lake Region Healthcare CorporationFergus Falls, MN | $5,211 |
| Sanford Bemidji Medical CenterBemidji, MN | $5,211 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $4,996 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $4,996 |
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 21 hospitals in Minnesota was billed at $20,250 on average, while the average medicare-allowed amount was $5,112, of which Medicare paid $4,060. 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 Minnesota, average charges were 4.0 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.