Level 2 Intraocular Procedures in Colorado
What 9 hospitals in Colorado charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Average charge
$20,619
Hospital list price billed
Average allowed
$3,850
Medicare's payment + patient's share
Medicare paid
$3,061
Average per service
State rank
#29 of 44
1 = lowest average payment
Hospitals in Colorado billed an average of $20,619 for level 2 intraocular procedures, about 5.4 times the average medicare-allowed amount of $3,850. That payment is 2% below the U.S. average of $3,924.
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 $3,850Billed $20,619
About 19¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 2 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 | 317 | $21,993 | $3,834 | $3,046 |
| Animas Surgical Hospital, LLCDurango | 301 | $14,392 | $3,860 | $3,071 |
| Centura Health-Porter Adventist HospitalDenver | 112 | $31,107 | $3,848 | $3,058 |
| Community HospitalGrand Junction | 44 | $23,646 | $3,871 | $3,081 |
| Denver Health Medical CenterDenver | 38 | $15,875 | $3,871 | $3,077 |
| Longmont United HospitalLongmont | 15 | $23,100 | $3,870 | $3,084 |
| Adventhealth Castle RockCastle Rock | 13 | $41,674 | $3,870 | $3,084 |
| Exempla Saint Joseph HospitalDenver | – | – | – | – |
| Delta County Memorial HospitalDelta | – | – | – | – |
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
| University of Colorado Hospital Anschutz InpatientAurora, CO | $3,834 |
|---|---|
| Centura Health-Porter Adventist HospitalDenver, CO | $3,848 |
| Animas Surgical Hospital, LLCDurango, CO | $3,860 |
| Longmont United HospitalLongmont, CO | $3,870 |
| Adventhealth Castle RockCastle Rock, CO | $3,870 |
Highest
| Denver Health Medical CenterDenver, CO | $3,871 |
|---|---|
| Community HospitalGrand Junction, CO | $3,871 |
| Longmont United HospitalLongmont, CO | $3,870 |
| Adventhealth Castle RockCastle Rock, CO | $3,870 |
| Animas Surgical Hospital, LLCDurango, CO | $3,860 |
Level 2 Intraocular Procedures in other states
Questions
How much does level 2 intraocular procedures cost in Colorado?
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 9 hospitals in Colorado was billed at $20,619 on average, while the average medicare-allowed amount was $3,850, of which Medicare paid $3,061. 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 5.4 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.