Level 1 Intraocular Procedures — what U.S. hospitals charge
APC 5491 · Hospital outpatient visit · 1,174 U.S. hospitals publish a price
Cheapest quarter
under $8,386
Typical charge
$11,755
Dearest quarter
over $16,722
Actually paid
$2,190
The middle U.S. hospital bills $11,755 for Level 1 Intraocular Procedures. The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $2,190 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 1 Intraocular Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Nebraska | 5 | $5,988 | $2,628 – $11,400 |
| Utah | 16 | $7,086 | $4,961 – $21,980 |
| Massachusetts | 22 | $7,297 | $4,319 – $22,597 |
| Vermont | 5 | $7,348 | $6,280 – $8,908 |
| Montana | 4 | $7,392 | $3,156 – $13,252 |
| North Dakota | 3 | $7,511 | $6,505 – $7,596 |
| South Dakota | 8 | $7,610 | $4,705 – $14,662 |
| Rhode Island | 4 | $7,642 | $5,449 – $10,325 |
| Kansas | 18 | $7,920 | $3,977 – $26,143 |
| Wyoming | 3 | $7,958 | $4,929 – $9,188 |
| Alaska | 4 | $8,353 | $5,117 – $15,751 |
| Iowa | 18 | $8,679 | $4,859 – $14,303 |
| Michigan | 52 | $8,966 | $4,402 – $29,738 |
| Alabama | 31 | $9,130 | $3,374 – $30,716 |
| West Virginia | 15 | $9,390 | $3,255 – $20,070 |
| Minnesota | 28 | $9,421 | $3,976 – $16,986 |
| Arkansas | 10 | $9,906 | $4,328 – $12,729 |
| Mississippi | 12 | $9,921 | $4,379 – $17,147 |
| Maine | 7 | $9,956 | $6,905 – $15,209 |
| Washington | 15 | $10,327 | $6,393 – $23,088 |
| Connecticut | 16 | $10,511 | $5,510 – $19,735 |
| Missouri | 27 | $10,671 | $4,800 – $31,099 |
| Oregon | 9 | $10,745 | $3,802 – $17,386 |
| North Carolina | 52 | $10,940 | $3,780 – $29,272 |
| New York | 75 | $10,993 | $2,685 – $43,080 |
| Colorado | 13 | $11,032 | $4,435 – $22,336 |
| Wisconsin | 43 | $11,243 | $2,833 – $26,215 |
| Pennsylvania | 64 | $11,527 | $3,943 – $46,860 |
| Ohio | 51 | $11,582 | $4,862 – $30,005 |
| New Hampshire | 6 | $11,959 | $8,842 – $13,050 |
| Tennessee | 25 | $11,970 | $5,410 – $24,124 |
| Kentucky | 29 | $12,165 | $5,094 – $21,544 |
| Arizona | 7 | $12,584 | $8,402 – $24,138 |
| Louisiana | 36 | $13,084 | $4,710 – $44,602 |
| Oklahoma | 27 | $13,244 | $5,510 – $27,099 |
| Texas | 69 | $13,594 | $5,196 – $52,244 |
| South Carolina | 13 | $13,620 | $3,725 – $34,075 |
| Illinois | 71 | $13,640 | $5,557 – $31,188 |
| New Mexico | 5 | $13,950 | $8,743 – $36,757 |
| District of Columbia | 3 | $13,960 | $10,611 – $36,447 |
| Indiana | 31 | $14,315 | $4,893 – $28,132 |
| Virginia | 29 | $14,521 | $6,340 – $52,161 |
| Georgia | 39 | $15,563 | $6,083 – $37,759 |
| California | 99 | $18,523 | $5,698 – $97,947 |
| New Jersey | 20 | $19,208 | $11,183 – $49,562 |
| Florida | 28 | $22,848 | $4,943 – $69,525 |
Where Level 1 Intraocular Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Columbus Community Hospital, Inc
Columbus, NE |
$2,628 | $1,305 |
|
Jones Memorial Hospital
Wellsville, NY |
$2,685 | $2,646 |
|
Oakleaf Surgical Hospital
Altoona, WI |
$2,833 | $2,093 |
|
Billings Clinic Hospital
Billings, MT |
$3,156 | $2,108 |
|
Camc Charleston Surgical Hospital
Charleston, WV |
$3,255 | $1,927 |
|
Geneva General Hospital
Geneva, NY |
$3,369 | $2,463 |
|
Bibb Medical Center
Centreville, AL |
$3,374 | $1,945 |
|
The East Alabama Healthcare Authority
Opelika, AL |
$3,628 | $2,062 |
|
Cayuga Medical Center At Ithaca
Ithaca, NY |
$3,680 | $2,631 |
|
Mcleod Regional Medical Center-Pee Dee
Florence, SC |
$3,725 | $1,962 |
|
Northern Regional Hospital
Mount Airy, NC |
$3,780 | $2,028 |
|
Sky Lakes Medical Center
Klamath Falls, OR |
$3,802 | $3,030 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Good Samaritan Hospital
San Jose, CA |
$97,947 | $3,282 |
|
Adventhealth Lake Wales
Lake Wales, FL |
$69,525 | $2,125 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$60,640 | $3,282 |
|
Hca Florida Citrus Hospital
Inverness, FL |
$57,798 | $2,111 |
|
Hca Florida Kendall Hospital
Miami, FL |
$54,787 | $2,111 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$52,244 | $2,151 |
|
John Randolph Medical Center
Hopewell, VA |
$52,161 | $1,998 |
|
Marinhealth Medical Center
Greenbrae, CA |
$51,835 | $3,255 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$49,562 | $2,440 |
|
Hca Houston Healthcare Northwest
Houston, TX |
$48,963 | $2,161 |
|
Northern Nevada Medical Center
Sparks, NV |
$48,649 | $2,829 |
|
Stanford Health Care
Stanford, CA |
$47,059 | $3,275 |
Questions people ask
What do U.S. hospitals charge for Level 1 Intraocular Procedures?
Across 1,174 U.S. hospitals, the middle charge for Level 1 Intraocular Procedures is $11,755. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $8,386 and the dearest quarter over $16,722.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 1 Intraocular Procedures, the hospitals in the dearest tenth charge about 3.9x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $2,190 is roughly what Medicare actually paid per case, against an average charge of $13,330. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5491: “Level 1 Intraocular Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.