Level 3 Intraocular Procedures in Virginia
What 22 hospitals in Virginia charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$23,151
Hospital list price billed
Average allowed
$4,586
Medicare's payment + patient's share
Medicare paid
$3,638
Average per service
State rank
#18 of 42
1 = lowest average payment
Hospitals in Virginia billed an average of $23,151 for level 3 intraocular procedures, about 5.0 times the average medicare-allowed amount of $4,586. That payment is 9% 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 $4,586Billed $23,151
About 20¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 intraocular procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Riverside Regional Medical CenterNewport News | 107 | $14,497 | $4,466 | $3,552 |
| Inova Fair Oaks HospitalFairfax | 55 | $38,014 | $4,715 | $3,724 |
| Sentara Careplex HospitalHampton | 38 | $17,337 | $4,548 | $3,623 |
| Medical College of Virginia HospitalsRichmond | 22 | $33,107 | $4,509 | $3,576 |
| Riverside Walter Reed HospitalGloucester | 22 | $14,409 | $4,500 | $3,585 |
| Sentara Norfolk General HospitalNorfolk | 15 | $31,332 | $4,548 | $3,611 |
| Inova Fairfax HospitalFalls Church | 15 | $16,171 | $4,901 | $3,900 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 15 | $28,788 | $4,544 | $3,569 |
| Winchester Medical Center INCWinchester | 12 | $24,647 | $4,810 | $3,754 |
| Augusta HealthFishersville | 11 | $38,537 | $5,052 | $4,025 |
| Martha Jefferson HospitalCharlottesville | 11 | $24,320 | $4,544 | $3,603 |
| University of Virginia Medical CenterCharlottesville | – | – | – | – |
| John Randolph Medical CenterHopewell | – | – | – | – |
| Centra Health - Lynchburg Gen HospitalLynchburg | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Riverside Shore Memorial HospitalNassawadox | – | – | – | – |
| Inova Alexandria HospitalAlexandria | – | – | – | – |
| Sentara Leigh HospitalNorfolk | – | – | – | – |
| Virginia Hospital Center - ArlingtonArlington | – | – | – | – |
| Sentara Virginia Beach General HospitalVirginia Beach | – | – | – | – |
| Southampton Memorial HospitalFranklin | – | – | – | – |
| Alleghany Regional HospitalJackson River | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Riverside Regional Medical CenterNewport News, VA | $4,466 |
|---|---|
| Riverside Walter Reed HospitalGloucester, VA | $4,500 |
| Medical College of Virginia HospitalsRichmond, VA | $4,509 |
| Bon Secours - Memorial Regional MedicalMechanicsville, VA | $4,544 |
| Martha Jefferson HospitalCharlottesville, VA | $4,544 |
Highest
| Augusta HealthFishersville, VA | $5,052 |
|---|---|
| Inova Fairfax HospitalFalls Church, VA | $4,901 |
| Winchester Medical Center INCWinchester, VA | $4,810 |
| Inova Fair Oaks HospitalFairfax, VA | $4,715 |
| Sentara Norfolk General HospitalNorfolk, VA | $4,548 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Virginia?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 22 hospitals in Virginia was billed at $23,151 on average, while the average medicare-allowed amount was $4,586, of which Medicare paid $3,638. 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 Virginia, average charges were 5.0 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.