Level 3 Intraocular Procedures in North Carolina
What 41 hospitals in North Carolina charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$23,074
Hospital list price billed
Average allowed
$4,719
Medicare's payment + patient's share
Medicare paid
$3,748
Average per service
State rank
#25 of 42
1 = lowest average payment
Hospitals in North Carolina billed an average of $23,074 for level 3 intraocular procedures, about 4.9 times the average medicare-allowed amount of $4,719. That payment is 6% 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 $4,719Billed $23,074
About 20¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 3 intraocular procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Carolina East Medical CenterNew Bern | 140 | $21,764 | $4,871 | $3,880 |
| Duke University Medical CenterDurham | 98 | $26,815 | $4,714 | $3,756 |
| Presbyterian HospitalCharlotte | 97 | $18,529 | $4,696 | $3,742 |
| New Hanover Regional Medical CenterWilmington | 47 | $28,320 | $4,871 | $3,877 |
| Rex HospitalRaleigh | 38 | $18,692 | $4,612 | $3,645 |
| UNC HospitalsChapel Hill | 34 | $16,696 | $4,549 | $3,579 |
| North Carolina Baptist HospitalWinston-Salem | 32 | $60,655 | $4,764 | $3,790 |
| Nash General HospitalRocky Mount | 27 | $15,188 | $4,622 | $3,669 |
| Wayne Memorial HospitalGoldsboro | 26 | $14,955 | $4,678 | $3,590 |
| Forsyth Memorial HospitalWinston-Salem | 23 | $16,650 | $4,764 | $3,796 |
| North Carolina Eye & Ear HospDurham | 23 | $12,128 | $4,714 | $3,756 |
| Highsmith-Rainey Memorial HospFayetteville | 20 | $18,223 | $4,548 | $3,624 |
| Haywood Regional Medical CenterClyde | 17 | $19,851 | $4,548 | $3,624 |
| Betsy Johnson Regional HospitalDunn | 15 | $20,252 | $4,307 | $3,382 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 11 | $42,096 | $4,548 | $3,624 |
| Carolinas Medical Center-NortheastConcord | – | – | – | – |
| Rowan Regional Medical CenterSalisbury | – | – | – | – |
| C J Harris Community HospitalSylva | – | – | – | – |
| Margaret R Pardee Mem HospitalHendersonville | – | – | – | – |
| ECU Health Medical CenterGreenville | – | – | – | – |
| Onslow Memorial HospitalJacksonville | – | – | – | – |
| Wilkes Regional Medical CenterNorth Wilkesboro | – | – | – | – |
| Alamance Regional Medical CenterBurlington | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Johnston Memorial HospitalSmithfield | – | – | – | – |
| Carolinas Medical Center/Behav HealthCharlotte | – | – | – | – |
| Firsthealth Moore Regional HospitalPinehurst | – | – | – | – |
| Stanly Regional Medical CenterAlbemarle | – | – | – | – |
| Duplin General HospitalKenansville | – | – | – | – |
| Randolph HospitalAsheboro | – | – | – | – |
| Wilson Medical CenterWilson | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Carolinas Medical Center-UnionMonroe | – | – | – | – |
| Maria Parham HospitalHenderson | – | – | – | – |
| Catawba Valley Medical CenterHickory | – | – | – | – |
| Medical Park HospitalWinston-Salem | – | – | – | – |
| Brunswick Community HospitalSupply | – | – | – | – |
| Person Memorial HospitalRoxboro | – | – | – | – |
| Wakemed, Cary HospitalCary | – | – | – | – |
| Davie Medical CenterBermuda Run | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Betsy Johnson Regional HospitalDunn, NC | $4,307 |
|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $4,548 |
| Haywood Regional Medical CenterClyde, NC | $4,548 |
| Highsmith-Rainey Memorial HospFayetteville, NC | $4,548 |
| UNC HospitalsChapel Hill, NC | $4,549 |
Highest
| New Hanover Regional Medical CenterWilmington, NC | $4,871 |
|---|---|
| Carolina East Medical CenterNew Bern, NC | $4,871 |
| North Carolina Baptist HospitalWinston-Salem, NC | $4,764 |
| Forsyth Memorial HospitalWinston-Salem, NC | $4,764 |
| Duke University Medical CenterDurham, NC | $4,714 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in North Carolina?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 41 hospitals in North Carolina was billed at $23,074 on average, while the average medicare-allowed amount was $4,719, of which Medicare paid $3,748. 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 North Carolina, 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.