facebook tracking Level 4 Intraocular Procedures cost in Washington: 2 hospitals compared (APC 5494)

Level 4 Intraocular Procedures in Washington

What 2 hospitals in Washington charged and were paid for level 4 intraocular procedures (APC 5494), from 2024 Medicare claims.

APC 5494 Outpatient 2024 Medicare data
Average charge – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

Washington hospitals: level 4 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
Swedish Medical CenterSeattle – – – –
Harborview Medical CenterSeattle – – – –
Advertisement

Level 4 Intraocular Procedures in other states

Questions

How much does level 4 intraocular procedures cost in Washington?

In 2024 Medicare data, level 4 intraocular procedures (APC 5494) at 2 hospitals in Washington was billed at – on average, while the average medicare-allowed amount was –. 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. 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.