Level 1 Intraocular Procedures in Colorado
What 15 hospitals in Colorado charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$10,292
Hospital list price billed
Average allowed
$2,229
Medicare's payment + patient's share
Medicare paid
$1,772
Average per service
State rank
#33 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $10,292 for level 1 intraocular procedures, about 4.6 times the average medicare-allowed amount of $2,229. That payment is about the same as the U.S. average of $2,208.
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.
Paid $2,229Billed $10,292
About 22¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 1 intraocular procedures
Every Colorado hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Colorado Hospital Anschutz InpatientAurora | 1,457 | $10,994 | $2,207 | $1,755 |
| Animas Surgical Hospital, LLCDurango | 1,101 | $11,078 | $2,206 | $1,753 |
| Adventhealth Castle RockCastle Rock | 314 | $9,876 | $2,192 | $1,741 |
| Yampa Valley Medical CenterSteamboat Springs | 251 | $5,750 | $2,341 | $1,858 |
| Delta County Memorial HospitalDelta | 217 | $4,435 | $2,345 | $1,862 |
| Centura Health-Avista Adventist HospitalLouisville | 125 | $14,579 | $2,218 | $1,767 |
| Denver Health Medical CenterDenver | 121 | $11,396 | $2,218 | $1,766 |
| San Luis Valley Regional Medical CenterAlamosa | 66 | $5,933 | $2,376 | $1,893 |
| Mercy Medical CenterDurango | 41 | $11,032 | $2,376 | $1,893 |
| North Colorado Medical CenterGreeley | 29 | $11,861 | $2,227 | $1,774 |
| Valley View Hospital AssociationGlenwood Springs | 15 | $6,043 | $2,376 | $1,893 |
| Longmont United HospitalLongmont | 12 | $19,896 | $2,218 | $1,767 |
| Centura Health-Porter Adventist HospitalDenver | 12 | $22,336 | $2,218 | $1,767 |
| Presbyterian/St Luke's Medical CenterDenver | – | – | – | – |
| Sky Ridge Medical CenterLone Tree | – | – | – | – |
Lowest and highest allowed amounts in Colorado
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Adventhealth Castle RockCastle Rock, CO | $2,192 |
|---|---|
| Animas Surgical Hospital, LLCDurango, CO | $2,206 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $2,207 |
| Longmont United HospitalLongmont, CO | $2,218 |
| Centura Health-Avista Adventist HospitalLouisville, CO | $2,218 |
Highest
| San Luis Valley Regional Medical CenterAlamosa, CO | $2,376 |
|---|---|
| Mercy Medical CenterDurango, CO | $2,376 |
| Valley View Hospital AssociationGlenwood Springs, CO | $2,376 |
| Delta County Memorial HospitalDelta, CO | $2,345 |
| Yampa Valley Medical CenterSteamboat Springs, CO | $2,341 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Colorado?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 15 hospitals in Colorado was billed at $10,292 on average, while the average medicare-allowed amount was $2,229, of which Medicare paid $1,772. 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. For this service in Colorado, average charges were 4.6 times the average payment. 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.