Level 4 Intraocular Procedures in California
What 6 hospitals in California 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
State rank
#1 of 1
1 = lowest average payment
Hospitals in California billed an average of $138,444 for level 4 intraocular procedures, about 7.9 times the average medicare-allowed amount of $17,419. That payment is about the same as the U.S. average 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.
Paid $17,419Billed $138,444
About 13¢ was paid for every $1 hospitals in California billed for this service.
California hospitals: level 4 intraocular procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UCSF Medical CenterSan Francisco | 11 | $138,444 | $17,419 | $15,787 |
| University of California San Diego Medical CenterSan Diego | – | – | – | – |
| UCLA Medical CenterLos Angeles | – | – | – | – |
| UCI Health-OrangeOrange | – | – | – | – |
| USC University HospitalLos Angeles | – | – | – | – |
| Fresno Surgical HospitalFresno | – | – | – | – |
Level 4 Intraocular Procedures in other states
Questions
How much does level 4 intraocular procedures cost in California?
In 2024 Medicare data, level 4 intraocular procedures (APC 5494) at 6 hospitals in California 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.
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 California, 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.