Level 3 Intraocular Procedures in Tennessee
What 17 hospitals in Tennessee charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$34,501
Hospital list price billed
Average allowed
$4,479
Medicare's payment + patient's share
Medicare paid
$3,561
Average per service
State rank
#11 of 42
1 = lowest average payment
Hospitals in Tennessee billed an average of $34,501 for level 3 intraocular procedures, about 7.7 times the average medicare-allowed amount of $4,479. That payment is 11% 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 $4,479Billed $34,501
About 13¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 3 intraocular procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Jackson-Madison Cnty Gen HospJackson | 27 | $19,998 | $4,687 | $3,734 |
| Centennial Medical CenterNashville | 27 | $57,183 | $4,503 | $3,588 |
| Vanderbilt Wilson County HospitalLebanon | 27 | $18,078 | $4,503 | $3,581 |
| Erlanger Medical CenterChattanooga | 22 | $19,258 | $4,469 | $3,560 |
| Vanderbilt University HospitalNashville | 20 | $46,572 | $4,375 | $3,486 |
| St Francis HospitalMemphis | 18 | $52,083 | $4,220 | $3,319 |
| Henderson County Community HospitalLexington | – | – | – | – |
| Univ of Tn Mem HospitalKnoxville | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Southern Tennessee Regional Health System PulaskiPulaski | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Baptist Memorial HospitalMemphis | – | – | – | – |
| Maury Regional HospitalColumbia | – | – | – | – |
| Memorial Healthcare System, INCChattanooga | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
Lowest and highest allowed amounts in Tennessee
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
| St Francis HospitalMemphis, TN | $4,220 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $4,375 |
| Erlanger Medical CenterChattanooga, TN | $4,469 |
| Centennial Medical CenterNashville, TN | $4,503 |
| Vanderbilt Wilson County HospitalLebanon, TN | $4,503 |
Highest
| Jackson-Madison Cnty Gen HospJackson, TN | $4,687 |
|---|---|
| Vanderbilt Wilson County HospitalLebanon, TN | $4,503 |
| Centennial Medical CenterNashville, TN | $4,503 |
| Erlanger Medical CenterChattanooga, TN | $4,469 |
| Vanderbilt University HospitalNashville, TN | $4,375 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Tennessee?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 17 hospitals in Tennessee was billed at $34,501 on average, while the average medicare-allowed amount was $4,479, of which Medicare paid $3,561. 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 Tennessee, average charges were 7.7 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.