Level 3 Intraocular Procedures in New Jersey
What 15 hospitals in New Jersey charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$34,281
Hospital list price billed
Average allowed
$5,660
Medicare's payment + patient's share
Medicare paid
$4,496
Average per service
State rank
#39 of 42
1 = lowest average payment
Hospitals in New Jersey billed an average of $34,281 for level 3 intraocular procedures, about 6.1 times the average medicare-allowed amount of $5,660. That payment is 12% 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 $5,660Billed $34,281
About 17¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 3 intraocular procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Clara Maass Medical CenterBelleville | 98 | $20,025 | $5,523 | $4,379 |
| St Joseph's Regional Medical CenterPaterson | 26 | $33,107 | $5,947 | $4,739 |
| Capital Health System-Mercer CampusTrenton | 23 | $78,679 | $5,472 | $4,360 |
| Robert Wood Johnson University HospitalNew Brunswick | 20 | $31,075 | $5,647 | $4,452 |
| Holy Name Medical CenterTeaneck | 19 | $18,719 | $5,948 | $4,729 |
| Englewood Hospital and Medical CenterEnglewood | 16 | $93,005 | $5,947 | $4,736 |
| Valley HospitalRidgewood | 14 | $25,674 | $5,947 | $4,739 |
| Jfk Medical CenterEdison | 12 | $32,336 | $5,545 | $4,418 |
| Shore Memorial HospitalSomers Point | 11 | $31,612 | $5,472 | $4,360 |
| Hackensack University Medical CenterHackensack | – | – | – | – |
| Riverview Medical CenterRed Bank | – | – | – | – |
| Community Medical CenterToms River | – | – | – | – |
| Virtua Memorial Hospital of Burlington CountyMt Holly | – | – | – | – |
| Monmouth Medical Center-Southern CampusLakewood | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
Lowest and highest allowed amounts in New Jersey
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
| Capital Health System-Mercer CampusTrenton, NJ | $5,472 |
|---|---|
| Shore Memorial HospitalSomers Point, NJ | $5,472 |
| Clara Maass Medical CenterBelleville, NJ | $5,523 |
| Jfk Medical CenterEdison, NJ | $5,545 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,647 |
Highest
| Holy Name Medical CenterTeaneck, NJ | $5,948 |
|---|---|
| Englewood Hospital and Medical CenterEnglewood, NJ | $5,947 |
| Valley HospitalRidgewood, NJ | $5,947 |
| St Joseph's Regional Medical CenterPaterson, NJ | $5,947 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,647 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in New Jersey?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 15 hospitals in New Jersey was billed at $34,281 on average, while the average medicare-allowed amount was $5,660, of which Medicare paid $4,496. 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 New Jersey, average charges were 6.1 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.