Level 3 Intraocular Procedures in Wisconsin
What 27 hospitals in Wisconsin charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$23,454
Hospital list price billed
Average allowed
$4,795
Medicare's payment + patient's share
Medicare paid
$3,817
Average per service
State rank
#27 of 42
1 = lowest average payment
Hospitals in Wisconsin billed an average of $23,454 for level 3 intraocular procedures, about 4.9 times the average medicare-allowed amount of $4,795. That payment is 5% 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 $4,795Billed $23,454
About 20¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 3 intraocular procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Wisconsin
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
| Gundersen Luth Med CtrLa Crosse, WI | $4,539 |
|---|---|
| Oakleaf Surgical HospitalEau Claire, WI | $4,698 |
| Aurora Baycare Med CtrGreen Bay, WI | $4,706 |
| Aurora Medical CenterSummit, WI | $4,765 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $4,779 |
Highest
| Marshfield Medical CenterMarshfield, WI | $5,009 |
|---|---|
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $4,918 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $4,918 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $4,918 |
| Aurora Memorial Hsptl BurlingtonBurlington, WI | $4,915 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Wisconsin?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 27 hospitals in Wisconsin was billed at $23,454 on average, while the average medicare-allowed amount was $4,795, of which Medicare paid $3,817. 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 Wisconsin, average charges were 4.9 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.