Level 5 Intraocular Procedures
What 23 hospitals in the U.S. charged and were paid for level 5 intraocular procedures (APC 5495), from 2024 Medicare claims.
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.
Level 5 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 |
|---|---|---|---|---|
| California | 11 | – | – | – – – |
| Colorado | 2 | – | – | – – – |
| Florida | 2 | – | – | – – – |
| Kansas | 1 | – | – | – |
| Massachusetts | 1 | – | – | – |
| Missouri | 1 | – | – | – |
| North Carolina | 1 | – | – | – |
| Ohio | 1 | – | – | – |
| Pennsylvania | 1 | – | – | – |
| Utah | 2 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Kaweah Delta Medical CenterVisalia, CA | – | – | – |
| UCLA Medical CenterLos Angeles, CA | – | – | – |
| Loma Linda University Medical CenterLoma Linda, CA | – | – | – |
| UCI Health-OrangeOrange, CA | – | – | – |
| Los Angeles General Medical CenterLos Angeles, CA | – | – | – |
| Lac/Harbor-UCLA Med CenterTorrance, CA | – | – | – |
| Santa Barbara Cottage HospitalSanta Barbara, CA | – | – | – |
| Stanford HospitalPalo Alto, CA | – | – | – |
| UCSF Medical CenterSan Francisco, CA | – | – | – |
| University of California Davis Medical CenterSacramento, CA | – | – | – |
| USC University HospitalLos Angeles, CA | – | – | – |
| University of Colorado Hospital Anschutz InpatientAurora, CO | – | – | – |
| Animas Surgical Hospital, LLCDurango, CO | – | – | – |
| Univ of Miami Hosp & ClinicsMiami, FL | – | – | – |
| Tampa General HospitalTampa, FL | – | – | – |
Questions
How much does level 5 intraocular procedures cost in the U.S.?
In 2024 Medicare data, level 5 intraocular procedures (APC 5495) at 23 hospitals in the U.S. 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.