Level 3 Intraocular Procedures in Washington
What 14 hospitals in Washington charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$25,209
Hospital list price billed
Average allowed
$5,333
Medicare's payment + patient's share
Medicare paid
$4,231
Average per service
State rank
#34 of 42
1 = lowest average payment
Hospitals in Washington billed an average of $25,209 for level 3 intraocular procedures, about 4.7 times the average medicare-allowed amount of $5,333. That payment is 6% 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 $5,333Billed $25,209
About 21¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 3 intraocular procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Tacoma General HospitalTacoma | 28 | $41,607 | $5,232 | $4,137 |
| Harborview Medical CenterSeattle | 24 | $30,262 | $5,071 | $4,005 |
| Valley Medical CenterRenton | 23 | $23,059 | $5,338 | $4,253 |
| Confluence Health HospitalWenatchee | 18 | $20,929 | $5,409 | $4,259 |
| Providence Holy Family HospitalSpokane | 16 | $16,862 | $5,246 | $4,168 |
| University of Washington Medical CtrSeattle | 13 | $22,406 | $5,246 | $4,179 |
| S W Washington Medical CenterVancouver | 12 | $15,076 | $5,484 | $4,369 |
| Providence St Mary Medical CenterWalla Walla | 11 | $22,780 | $5,618 | $4,476 |
| Peachealth St John Medical CenterLongview | 11 | $12,882 | $5,811 | $4,630 |
| Peacehealth St Joseph Medical CenterBellingham | – | – | – | – |
| Overlake Hospital Medical CenterBellevue | – | – | – | – |
| Providence Sacred Heart Medical CenterSpokane | – | – | – | – |
| Evergreenhealth MonroeMonroe | – | – | – | – |
| Evergreenhealth Medical CenterKirkland | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Harborview Medical CenterSeattle, WA | $5,071 |
|---|---|
| Tacoma General HospitalTacoma, WA | $5,232 |
| University of Washington Medical CtrSeattle, WA | $5,246 |
| Providence Holy Family HospitalSpokane, WA | $5,246 |
| Valley Medical CenterRenton, WA | $5,338 |
Highest
| Peachealth St John Medical CenterLongview, WA | $5,811 |
|---|---|
| Providence St Mary Medical CenterWalla Walla, WA | $5,618 |
| S W Washington Medical CenterVancouver, WA | $5,484 |
| Confluence Health HospitalWenatchee, WA | $5,409 |
| Valley Medical CenterRenton, WA | $5,338 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Washington?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 14 hospitals in Washington was billed at $25,209 on average, while the average medicare-allowed amount was $5,333, of which Medicare paid $4,231. 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 Washington, average charges were 4.7 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.