Level 3 Intraocular Procedures in Pennsylvania
What 38 hospitals in Pennsylvania charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$25,289
Hospital list price billed
Average allowed
$4,691
Medicare's payment + patient's share
Medicare paid
$3,734
Average per service
State rank
#23 of 42
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $25,289 for level 3 intraocular procedures, about 5.4 times the average medicare-allowed amount of $4,691. That payment is 7% 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 $4,691Billed $25,289
About 19¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 3 intraocular procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Wills Eye HospitalPhiladelphia | 206 | $17,348 | $5,058 | $4,025 |
| UPMC MercyPittsburgh | 64 | $33,906 | $4,668 | $3,716 |
| Phoenixville HospitalPhoenixville | 43 | $27,177 | $5,042 | $4,017 |
| UPMC MemorialYork | 31 | $13,879 | $3,146 | $2,507 |
| Gettysburg HospitalGettysburg | 24 | $13,742 | $2,060 | $1,641 |
| Penn Presbyterian Medical CenterPhiladelphia | 20 | $62,472 | $5,266 | $4,195 |
| Physicians Care Surgical HospitalRoyersford | 17 | $36,512 | $4,903 | $3,907 |
| Robert Packer HospitalSayre | 16 | $20,736 | $4,801 | $3,825 |
| Saint Vincent Health CenterErie | 15 | $24,531 | $5,509 | $4,379 |
| Reading Hospital and Med CtrWest Reading | 15 | $35,130 | $4,775 | $3,792 |
| Surgical Institute of ReadingWyomissing | 14 | $17,338 | $4,705 | $3,748 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 13 | $60,032 | $3,591 | $2,861 |
| Holy Spirit HospitalCamp Hill | 12 | $36,429 | $4,732 | $3,752 |
| Lehigh Valley HospitalAllentown | 12 | $38,805 | $5,098 | $4,062 |
| Geisinger Medical CenterDanville | – | – | – | – |
| Lansdale HospitalLansdale | – | – | – | – |
| Jameson Memorial HospitalNew Castle | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Temple University HospitalPhiladelphia | – | – | – | – |
| Lewistown HospitalLewistown | – | – | – | – |
| Allegheny General HospitalPittsburgh | – | – | – | – |
| Carlisle Regional Medical CtrCarlisle | – | – | – | – |
| West Penn HospitalPittsburgh | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| UPMC PassavantPittsburgh | – | – | – | – |
| Hospital of the Univ of PaPhiladelphia | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| ACMH HospitalKittanning | – | – | – | – |
| UPMC Presbyterian ShadysidePittsburgh | – | – | – | – |
| Crozer Chester Medical CenterChester | – | – | – | – |
| Main Line Hospital LankenauWynnewood | – | – | – | – |
| Riddle Memorial HospitalMedia | – | – | – | – |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | – | – | – | – |
| St Clair Memorial HospitalPittsburgh | – | – | – | – |
| Milton S Hershey Medical CenterHershey | – | – | – | – |
| Mount Nittany Medical CenterState College | – | – | – | – |
| Edgewood Surgical HospitalTransfer | – | – | – | – |
| Geisinger Medical Center MuncyMuncy | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Gettysburg HospitalGettysburg, PA | $2,060 |
|---|---|
| UPMC MemorialYork, PA | $3,146 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $3,591 |
| UPMC MercyPittsburgh, PA | $4,668 |
| Surgical Institute of ReadingWyomissing, PA | $4,705 |
Highest
| Saint Vincent Health CenterErie, PA | $5,509 |
|---|---|
| Penn Presbyterian Medical CenterPhiladelphia, PA | $5,266 |
| Lehigh Valley HospitalAllentown, PA | $5,098 |
| Wills Eye HospitalPhiladelphia, PA | $5,058 |
| Phoenixville HospitalPhoenixville, PA | $5,042 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Pennsylvania?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 38 hospitals in Pennsylvania was billed at $25,289 on average, while the average medicare-allowed amount was $4,691, of which Medicare paid $3,734. 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 Pennsylvania, average charges were 5.4 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.