facebook tracking Level 3 Intraocular Procedures cost in Ohio: 29 hospitals compared (APC 5493)

Level 3 Intraocular Procedures in Ohio

What 29 hospitals in Ohio charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.

APC 5493 Outpatient 2024 Medicare data
Average charge $23,082 Hospital list price billed
Average allowed $3,979 Medicare's payment + patient's share
Medicare paid $3,160 Average per service
State rank #2 of 42 1 = lowest average payment

Hospitals in Ohio billed an average of $23,082 for level 3 intraocular procedures, about 5.8 times the average medicare-allowed amount of $3,979. That payment is 21% 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 $3,979Billed $23,082

About 17¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 3 intraocular procedures

Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 120 $19,399 $4,462 $3,554
Toledo Hospital theToledo 45 $26,529 $1,896 $1,487
Miami Valley HospitalDayton 34 $21,101 $4,468 $3,526
Ohio State University HospitalsColumbus 27 $36,195 $4,691 $3,730
Samaritan Hospital - Peoples HospitalAshland – – – –
University Hospital, INCCincinnati – – – –
Riverside Methodist HospitalColumbus – – – –
Southern Ohio Medical CenterPortsmouth – – – –
Grant Medical CenterColumbus – – – –
Cleveland Clinic - Akron GeneralAkron – – – –
Knox Community HospitalMt Vernon – – – –
Metrohealth SystemCleveland – – – –
Fairfield Medical CenterLancaster – – – –
Aultman HospitalCanton – – – –
Mercy Hospital of TiffinTiffin – – – –
Medina HospitalMedina – – – –
Bellevue HospitalBellevue – – – –
Mercy St Vincent Medical CenterToledo – – – –
Kettering Health DaytonDayton – – – –
Good Samaritan HospitalCincinnati – – – –
University Hospitals of ClevelandCleveland – – – –
Memorial HospitalFremont – – – –
St Joseph Health CenterWarren – – – –
Upper Valley Medical CenterTroy – – – –
Grady Memorial HospitalDelaware – – – –
Hillcrest HospitalCleveland – – – –
Mercy Franciscan Hospital - Mt AiryCincinnati – – – –
St Elizabeth Boardman Health CenterYoungstown – – – –
Ohio Valley Medical Center, LLCSpringfield – – – –
Advertisement

Lowest and highest allowed amounts in Ohio

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

Toledo Hospital theToledo, OH$1,896
Cleveland Clinic - Main CampusCleveland, OH$4,462
Miami Valley HospitalDayton, OH$4,468
Ohio State University HospitalsColumbus, OH$4,691

Highest

Ohio State University HospitalsColumbus, OH$4,691
Miami Valley HospitalDayton, OH$4,468
Cleveland Clinic - Main CampusCleveland, OH$4,462
Toledo Hospital theToledo, OH$1,896

Level 3 Intraocular Procedures in other states

Questions

How much does level 3 intraocular procedures cost in Ohio?

In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 29 hospitals in Ohio was billed at $23,082 on average, while the average medicare-allowed amount was $3,979, of which Medicare paid $3,160. 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 Ohio, average charges were 5.8 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.