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Outpatient procedure · APC 5494 · Surgery or procedure

Level 4 Intraocular Procedures

In 2024, Medicare and patients paid an average of $17,419 per procedure at 1 hospitals. Half of hospitals averaged between $17,419 and $17,419.

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

Limited data: use with caution

Only 1 hospital reported this in 2024 (11 procedures). Medicare covers few patients for some procedures (births, for example), and CMS leaves out hospitals with fewer than 11 cases, so these figures may not represent typical costs.

National figures, 2024

Average payment per case
$17,419
Typical range (middle half of hospitals)
$17,419–$17,419
Medicare’s share
$15,78791% of the payment
Average billed charge
$138,444
Hospitals reporting
111 procedures

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

1 hospital reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 4 Intraocular Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UCSF Medical CenterSan Francisco, CA · CCN 05045411$17,419About average$15,787$138,444

National trend

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

  • Average payment
  • Average billed charge
2023: 11 procedures at 1 hospitals · 2024: 11 procedures at 1 hospitals
View data as a table
National average payment and billed charge for Level 4 Intraocular Procedures
Year of careAverage paymentAverage billed charge
2023$20K$12K
2024$17K$138K

By state, 2024

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

Show all 1 states
Average payment by state for Level 4 Intraocular Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
California111$17,419$17,419–$17,419

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.