Level 3 Intraocular Procedures in Missouri
What 23 hospitals in Missouri charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$21,276
Hospital list price billed
Average allowed
$4,350
Medicare's payment + patient's share
Medicare paid
$3,455
Average per service
State rank
#7 of 42
1 = lowest average payment
Hospitals in Missouri billed an average of $21,276 for level 3 intraocular procedures, about 4.9 times the average medicare-allowed amount of $4,350. That payment is 14% 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 $4,350Billed $21,276
About 20¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 intraocular procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Hospital SpringfieldSpringfield | 125 | $22,298 | $4,339 | $3,444 |
| Barnes Jewish HospitalSt Louis | 53 | $24,062 | $4,582 | $3,635 |
| St Lukes HospitalChesterfield | 47 | $16,149 | $4,573 | $3,623 |
| University Hospitals & ClinicsColumbia | 34 | $29,386 | $4,348 | $3,444 |
| Truman Medical Center Hospital HillKansas City | 23 | $14,912 | $4,525 | $3,605 |
| Barnes-Jewish West County HospitalSt Louis | 21 | $21,235 | $1,861 | $1,482 |
| Lake Regional Health SystemOsage Beach | 19 | $13,073 | $4,707 | $3,749 |
| Phelps County Regional Medical CenterRolla | 14 | $18,753 | $4,982 | $3,969 |
| St Louis University HospitalSt Louis | 13 | $32,340 | $4,305 | $3,430 |
| Parkland Health CenterFarmington | 13 | $20,234 | $4,982 | $3,969 |
| St John's Mercy Medical CenterSt Louis | 12 | $12,772 | $4,651 | $3,706 |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Lester E Cox Medical CentersSpringfield | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| SSM St Joseph Hosp of KirkwoodSt Louis | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| St Lukes Hospital of Kansas CityKansas City | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| St Francis Medical CenterCape Girardeau | – | – | – | – |
| Barnes-Jewish St Peters HospitalSt Peters | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Barnes-Jewish West County HospitalSt Louis, MO | $1,861 |
|---|---|
| St Louis University HospitalSt Louis, MO | $4,305 |
| Mercy Hospital SpringfieldSpringfield, MO | $4,339 |
| University Hospitals & ClinicsColumbia, MO | $4,348 |
| Truman Medical Center Hospital HillKansas City, MO | $4,525 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $4,982 |
|---|---|
| Parkland Health CenterFarmington, MO | $4,982 |
| Lake Regional Health SystemOsage Beach, MO | $4,707 |
| St John's Mercy Medical CenterSt Louis, MO | $4,651 |
| Barnes Jewish HospitalSt Louis, MO | $4,582 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Missouri?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 23 hospitals in Missouri was billed at $21,276 on average, while the average medicare-allowed amount was $4,350, of which Medicare paid $3,455. 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 Missouri, average charges were 4.9 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.