Level 4 Intraocular Procedures
What 32 hospitals in the U.S. charged and were paid for level 4 intraocular procedures (APC 5494), from 2024 Medicare claims.
Average charge
$138,444
Hospital list price billed
Average allowed
$17,419
Medicare's payment + patient's share
Medicare paid
$15,787
Average per service
Volume
11
Medicare services
Hospitals in the U.S. billed an average of $138,444 for level 4 intraocular procedures, about 7.9 times the average medicare-allowed amount of $17,419.
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.
Level 4 Intraocular Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 1 | – | – | – |
| California | 6 | $138,444 | $17,419 | $17,419 – $17,419 |
| Connecticut | 1 | – | – | – |
| Florida | 4 | – | – | – – – |
| Illinois | 1 | – | – | – |
| Iowa | 1 | – | – | – |
| Kansas | 1 | – | – | – |
| Kentucky | 1 | – | – | – |
| Massachusetts | 2 | – | – | – – – |
| Michigan | 1 | – | – | – |
| Minnesota | 2 | – | – | – – – |
| New York | 3 | – | – | – – – |
| Ohio | 1 | – | – | – |
| Oklahoma | 1 | – | – | – |
| Pennsylvania | 2 | – | – | – – – |
| Utah | 1 | – | – | – |
| Washington | 2 | – | – | – – – |
| Wisconsin | 1 | – | – | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| UCSF Medical CenterSan Francisco, CA | 11 | $138,444 | $17,419 |
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | – | – | – |
| University of California San Diego Medical CenterSan Diego, CA | – | – | – |
| UCLA Medical CenterLos Angeles, CA | – | – | – |
| UCI Health-OrangeOrange, CA | – | – | – |
| USC University HospitalLos Angeles, CA | – | – | – |
| Fresno Surgical HospitalFresno, CA | – | – | – |
| Saint Marys HospitalWaterbury, CT | – | – | – |
| Adventhealth OrlandoOrlando, FL | – | – | – |
| Univ of Miami Hosp & ClinicsMiami, FL | – | – | – |
| Shands Hospital at the University of FloridaGainesville, FL | – | – | – |
| Tampa General HospitalTampa, FL | – | – | – |
| University of Illinois Hospital and ClinicsChicago, IL | – | – | – |
| University of Iowa Hospital & ClinicsIowa City, IA | – | – | – |
| University of Kansas HospitalKansas City, KS | – | – | – |
Questions
How much does level 4 intraocular procedures cost in the U.S.?
In 2024 Medicare data, level 4 intraocular procedures (APC 5494) at 32 hospitals in the U.S. was billed at $138,444 on average, while the average medicare-allowed amount was $17,419, of which Medicare paid $15,787. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 intraocular procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($17,419) and lowest in California ($17,419).
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 the U.S., average charges were 7.9 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.