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 1,101–1,150. 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
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	555	$2,861	30% above the national average	$2,278	$11,216
Centinela Hospital Medical CenterInglewood, CA · CCN 050739	36	$2,865	30% above the national average	$2,283	$43,703
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	28	$2,865	30% above the national average	$2,283	$11,196
Doctors Medical CenterModesto, CA · CCN 050464	20	$2,865	30% above the national average	$2,283	$28,381
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	83	$2,865	30% above the national average	$2,283	$17,351
Paradise Valley HospitalNational City, CA · CCN 050024	16	$2,865	30% above the national average	$2,283	$32,234
Saint John's Health CenterSanta Monica, CA · CCN 050290	14	$2,865	30% above the national average	$2,283	$5,698
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	13	$2,865	30% above the national average	$2,283	$11,353
Uci Health - Placentia LindaPlacentia, CA · CCN 050589	21	$2,865	30% above the national average	$2,283	$44,296
Grossmont HospitalLa Mesa, CA · CCN 050026	138	$2,865	30% above the national average	$2,282	$22,704
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	193	$2,865	30% above the national average	$2,281	$46,071
Saint Agnes Medical CenterFresno, CA · CCN 050093	411	$2,865	30% above the national average	$2,281	$12,802
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	12	$2,865	30% above the national average	$2,280	$11,150
St Johns Regional Medical CenterOxnard, CA · CCN 050082	251	$2,865	30% above the national average	$2,280	$19,302
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	30	$2,865	30% above the national average	$2,279	$25,798
Sharp Memorial HospitalSan Diego, CA · CCN 050100	399	$2,865	30% above the national average	$2,278	$21,947
Community Regional Medical CenterFresno, CA · CCN 050060	35	$2,865	30% above the national average	$2,278	$20,770
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	77	$2,865	30% above the national average	$2,277	$24,601
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	90	$2,865	30% above the national average	$2,275	$20,265
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	242	$2,865	30% above the national average	$2,275	$16,855
Scripps Mercy HospitalSan Diego, CA · CCN 050077	55	$2,865	30% above the national average	$2,275	$45,347
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	18	$2,865	30% above the national average	$2,270	$20,212
Sierra View Medical CenterPorterville, CA · CCN 050261	28	$2,865	30% above the national average	$2,269	$29,654
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 050040	119	$2,866	30% above the national average	$2,260	$18,523
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	192	$2,866	30% above the national average	$2,256	$27,485
East Los Angeles Doctors HospitalLos Angeles, CA · CCN 050641	28	$2,866	30% above the national average	$2,253	$20,088
Encino Hospital Medical CenterEncino, CA · CCN 050158	13	$2,866	30% above the national average	$2,239	$23,858
Alhambra Hospital Medical CenterAlhambra, CA · CCN 050281	73	$2,867	30% above the national average	$2,188	$21,039
Wilcox Memorial HospitalLihue, HI · CCN 120014	76	$2,871	30% above the national average	$2,286	$10,168
University Of California Davis Medical CenterSacramento, CA · CCN 050599 · +$110 outlier payments per case	896	$2,895	31% above the national average	$2,304	$27,697
Dameron HospitalStockton, CA · CCN 050122	30	$2,927	33% above the national average	$2,332	$20,890
Stanislaus Surgical HospitalModesto, CA · CCN 050726	59	$2,928	33% above the national average	$2,332	$16,362
Sutter Davis HospitalDavis, CA · CCN 050537	144	$2,943	33% above the national average	$2,338	$15,703
Woodland Memorial HospitalWoodland, CA · CCN 050127	333	$2,970	35% above the national average	$2,364	$8,894
Mercy General HospitalSacramento, CA · CCN 050017	224	$2,976	35% above the national average	$2,363	$14,900
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	26	$3,030	37% above the national average	$2,414	$3,802
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	253	$3,068	39% above the national average	$2,444	$12,886
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	11	$3,090	40% above the national average	$2,413	$39,910
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	635	$3,106	41% above the national average	$2,473	$15,220
Kaiser Foundation Hospital - SacramentoSacramento, CA · CCN 050425	43	$3,106	41% above the national average	$2,431	$15,103
Petaluma Valley HospitalPetaluma, CA · CCN 050136	314	$3,107	41% above the national average	$2,468	$16,722
Sonoma Valley HospitalSonoma, CA · CCN 050090	128	$3,111	41% above the national average	$2,467	$31,206
Sutter Amador HospitalJackson, CA · CCN 050014	61	$3,188	44% above the national average	$2,538	$14,373
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276 · +$3,809 outlier payments per case	124	$3,213	46% above the national average	$2,554	$12,488
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	537	$3,216	46% above the national average	$2,554	$38,399
Kaiser Foundation Hospital-San JoseSan Jose, CA · CCN 050604	19	$3,218	46% above the national average	$2,546	$16,042
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	678	$3,221	46% above the national average	$2,561	$19,149
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	65	$3,224	46% above the national average	$2,557	$36,406
Highland HospitalOakland, CA · CCN 050320	145	$3,236	47% above the national average	$2,569	$16,523
Alameda HospitalAlameda, CA · CCN 050211	74	$3,237	47% above the national average	$2,552	$13,655

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.