Outpatient procedure · APC 5491 · Surgery or procedure

Level 1 Intraocular Procedures

In 2024, Medicare and patients paid an average of $2,208 per procedure at 1,174 hospitals. Half of hospitals averaged between $2,008 and $2,312.

Also known as: Cataract surgery, eye surgery, glaucoma surgery

National figures, 2024

Average payment per case: $2,208
Typical range (middle half of hospitals): $2,008–$2,312
Medicare’s share: $1,75279% of the payment
Average billed charge: $13,330
Hospitals reporting: 1,174275,392 procedures

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1,169 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,051–1,100. Download as CSV

Medicare payments per case for Level 1 Intraocular Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Claxton-Hepburn Medical CenterOgdensburg, NY · CCN 330211	127	$2,646	20% above the national average	$2,108	$8,046
Brooks-TLC Hospital System, IncDunkirk, NY · CCN 330229	95	$2,646	20% above the national average	$2,107	$4,402
Olean General HospitalOlean, NY · CCN 330103	208	$2,646	20% above the national average	$2,104	$4,375
Jones Memorial HospitalWellsville, NY · CCN 330096	271	$2,646	20% above the national average	$2,102	$2,685
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	46	$2,652	20% above the national average	$2,113	$6,322
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 330395	51	$2,652	20% above the national average	$2,113	$18,770
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	34	$2,652	20% above the national average	$2,113	$18,606
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	44	$2,652	20% above the national average	$2,113	$10,823
Harlem Hospital CenterNew York, NY · CCN 330240	14	$2,652	20% above the national average	$2,113	$9,607
Metropolitan Hospital CenterNew York, NY · CCN 330199	15	$2,652	20% above the national average	$2,113	$9,438
New York-Presbyterian/QueensFlushing, NY · CCN 330055	75	$2,652	20% above the national average	$2,113	$18,183
South Brooklyn HealthBrooklyn, NY · CCN 330196	14	$2,652	20% above the national average	$2,113	$8,582
St Barnabas HospitalBronx, NY · CCN 330399	16	$2,652	20% above the national average	$2,113	$10,986
Wyckoff Heights Medical CenterBrooklyn, NY · CCN 330221	13	$2,652	20% above the national average	$2,113	$7,382
Valley HospitalParamus, NJ · CCN 310012	778	$2,652	20% above the national average	$2,112	$19,847
Holy Name Medical CenterTeaneck, NJ · CCN 310008	360	$2,652	20% above the national average	$2,111	$11,183
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 330019	106	$2,652	20% above the national average	$2,109	$14,270
Queens Hospital CenterJamaica, NY · CCN 330231	46	$2,652	20% above the national average	$2,107	$7,816
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	47	$2,652	20% above the national average	$2,106	$12,543
Richmond University Medical CenterStaten Island, NY · CCN 330028	28	$2,652	20% above the national average	$2,106	$22,324
Jersey City Medical CenterJersey City, NJ · CCN 310074	16	$2,652	20% above the national average	$2,095	$12,747
Kaiser Foundation Hospital Fontana/OntarioFontana, CA · CCN 050140	15	$2,661	21% above the national average	$2,064	$11,090
Kaiser Foundation Hospital - Los AngelesLos Angeles, CA · CCN 050138	24	$2,717	23% above the national average	$2,123	$9,080
Kaiser Foundation Hospital - San DiegoSan Diego, CA · CCN 050515	46	$2,719	23% above the national average	$2,122	$9,342
PIH Health Downey HospitalDowney, CA · CCN 050393	12	$2,732	24% above the national average	$2,118	$17,466
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	46	$2,766	25% above the national average	$2,183	$18,688
Sharon HospitalSharon, CT · CCN 070004	126	$2,767	25% above the national average	$2,201	$5,510
Kaiser Foundation Hospital-Santa ClaraSanta Clara, CA · CCN 050071	12	$2,808	27% above the national average	$2,089	$15,196
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley, CA · CCN 050765	11	$2,810	27% above the national average	$2,230	$10,399
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park, CA · CCN 050723	19	$2,810	27% above the national average	$2,228	$8,249
Kaiser Foundation Hospital - Woodland HillsWoodland Hills, CA · CCN 050677	22	$2,810	27% above the national average	$2,209	$7,800
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	63	$2,829	28% above the national average	$2,239	$22,810
Northern Nevada Medical CenterSparks, NV · CCN 290032	12	$2,829	28% above the national average	$2,254	$48,649
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	200	$2,831	28% above the national average	$2,246	$44,542
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	199	$2,831	28% above the national average	$2,247	$12,673
Arrowhead Regional Medical CenterColton, CA · CCN 050245	88	$2,839	29% above the national average	$2,257	$27,797
Oroville HospitalOroville, CA · CCN 050030	665	$2,842	29% above the national average	$2,254	$6,273
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	1,990	$2,844	29% above the national average	$2,261	$10,567
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	112	$2,846	29% above the national average	$2,262	$34,920
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	250	$2,847	29% above the national average	$2,264	$18,915
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	95	$2,847	29% above the national average	$2,268	$10,732
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	134	$2,848	29% above the national average	$2,264	$24,149
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	226	$2,855	29% above the national average	$2,268	$22,861
Keck Hospital Of USCLos Angeles, CA · CCN 050696	624	$2,856	29% above the national average	$2,269	$13,504
Fresno Surgical HospitalFresno, CA · CCN 050708	2,479	$2,857	29% above the national average	$2,272	$10,686
Uci Health-OrangeOrange, CA · CCN 050348 · +$44 outlier payments per case	1,628	$2,858	29% above the national average	$2,276	$19,830
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	664	$2,858	29% above the national average	$2,275	$10,144
Mad River Community HospitalArcata, CA · CCN 050028	378	$2,859	29% above the national average	$2,277	$16,722
Memorial Medical CenterModesto, CA · CCN 050557	406	$2,859	30% above the national average	$2,276	$14,410
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025 · +$39 outlier payments per case	1,235	$2,860	30% above the national average	$2,275	$13,241

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 303,574 procedures at 1,440 hospitals · 2021: 341,836 procedures at 1,390 hospitals · 2022: 327,200 procedures at 1,330 hospitals · 2023: 300,166 procedures at 1,274 hospitals · 2024: 275,392 procedures at 1,174 hospitals

View data as a table

National average payment and billed charge for Level 1 Intraocular Procedures
Year of care	Average payment	Average billed charge
2020	$2,009	$11K
2021	$2,084	$11K
2022	$2,104	$12K
2023	$2,122	$13K
2024	$2,208	$13K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 1 Intraocular Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	1,365	$1,109	$1,083–$1,377
Mississippi	12	1,732	$1,738	$1,903–$2,002
South Carolina	13	3,827	$1,770	$1,983–$1,996
New Mexico	5	990	$1,781	$1,990–$2,063
Ohio	51	13,884	$1,898	$1,967–$2,067
Alabama	31	4,825	$1,907	$1,863–$1,941
Kansas	18	4,409	$1,923	$1,989–$2,118
Tennessee	25	3,090	$1,924	$1,896–$1,989
Louisiana	36	7,147	$1,951	$1,904–$1,974
West Virginia	15	3,623	$1,954	$1,928–$2,038
Missouri	27	5,635	$1,956	$2,014–$2,133
Pennsylvania	64	15,080	$1,974	$2,078–$2,234
Nebraska	5	3,401	$1,974	$2,068–$2,100
Kentucky	29	4,512	$1,995	$1,955–$2,004
Arkansas	10	1,988	$1,998	$1,983–$2,088
Florida	28	5,055	$2,005	$2,060–$2,111
Oklahoma	27	4,402	$2,020	$1,962–$2,022
Iowa	18	5,707	$2,033	$1,986–$2,111
Georgia	39	5,409	$2,050	$1,959–$2,132
Michigan	52	8,395	$2,051	$2,030–$2,150
Texas	69	14,253	$2,069	$2,003–$2,148
Utah	16	3,812	$2,084	$2,062–$2,117
North Carolina	52	17,278	$2,087	$2,028–$2,100
Virginia	29	8,560	$2,088	$1,998–$2,154
Indiana	31	7,128	$2,093	$2,066–$2,127
Idaho	2	178	$2,114	$2,108–$2,157
Maine	7	845	$2,121	$2,071–$2,162
Wisconsin	43	10,839	$2,122	$2,096–$2,192
Montana	4	1,118	$2,155	$2,149–$2,174
Wyoming	3	828	$2,156	$2,200–$2,308
Alaska	4	544	$2,159	$2,038–$2,545
Illinois	71	18,582	$2,182	$2,154–$2,234
Colorado	13	3,761	$2,229	$2,218–$2,345
North Dakota	3	1,399	$2,253	$2,177–$2,246
Arizona	7	712	$2,260	$2,265–$2,328
Minnesota	28	6,855	$2,279	$2,200–$2,323
South Dakota	8	1,896	$2,280	$2,174–$2,334
Delaware	2	336	$2,305	$2,287–$2,315
New Hampshire	6	1,787	$2,306	$2,217–$2,329
District of Columbia	3	587	$2,345	$2,340–$2,355
Rhode Island	4	434	$2,362	$2,360–$2,365
Washington	15	4,590	$2,422	$2,331–$2,483
Oregon	9	2,473	$2,455	$2,421–$2,526
Massachusetts	22	8,017	$2,488	$2,476–$2,503
New Jersey	20	2,849	$2,551	$2,440–$2,626
Connecticut	16	4,232	$2,561	$2,575–$2,600
New York	75	21,019	$2,571	$2,471–$2,640
Hawaii	2	159	$2,705	$2,633–$2,791
Nevada	1	12	$2,829	$2,829–$2,829
California	99	25,833	$2,982	$2,855–$3,215

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.