Level 3 Intraocular Procedures in Oregon
What 8 hospitals in Oregon charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$24,660
Hospital list price billed
Average allowed
$5,499
Medicare's payment + patient's share
Medicare paid
$4,372
Average per service
State rank
#36 of 42
1 = lowest average payment
Hospitals in Oregon billed an average of $24,660 for level 3 intraocular procedures, about 4.5 times the average medicare-allowed amount of $5,499. That payment is 9% 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 $5,499Billed $24,660
About 22¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 3 intraocular procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 51 | $19,452 | $5,398 | $4,284 |
| Providence St Vincent Medical CenterPortland | 20 | $28,183 | $5,484 | $4,369 |
| Salem HospitalSalem | 18 | $34,509 | $5,811 | $4,630 |
| Legacy Good Samaritan Medical CenterPortland | 14 | $25,940 | $5,484 | $4,364 |
| Ashland Community HospitalAshland | – | – | – | – |
| Hillsboro Medical CenterHillsboro | – | – | – | – |
| Providence Milwaukie HospitalMilwaukie | – | – | – | – |
| Sacred Heart Medical Center - RiverbendSpringfield | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| OHSU Hospital and ClinicsPortland, OR | $5,398 |
|---|---|
| Providence St Vincent Medical CenterPortland, OR | $5,484 |
| Legacy Good Samaritan Medical CenterPortland, OR | $5,484 |
| Salem HospitalSalem, OR | $5,811 |
Highest
| Salem HospitalSalem, OR | $5,811 |
|---|---|
| Legacy Good Samaritan Medical CenterPortland, OR | $5,484 |
| Providence St Vincent Medical CenterPortland, OR | $5,484 |
| OHSU Hospital and ClinicsPortland, OR | $5,398 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Oregon?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 8 hospitals in Oregon was billed at $24,660 on average, while the average medicare-allowed amount was $5,499, of which Medicare paid $4,372. 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 Oregon, average charges were 4.5 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.