Level 3 Intraocular Procedures in Colorado
What 9 hospitals in Colorado charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$24,860
Hospital list price billed
Average allowed
$4,938
Medicare's payment + patient's share
Medicare paid
$3,924
Average per service
State rank
#31 of 42
1 = lowest average payment
Hospitals in Colorado billed an average of $24,860 for level 3 intraocular procedures, about 5.0 times the average medicare-allowed amount of $4,938. That payment is 2% below the U.S. average of $5,041.
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 $4,938Billed $24,860
About 20¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 3 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 |
|---|---|---|---|---|
| Animas Surgical Hospital, LLCDurango | 63 | $18,004 | $4,916 | $3,901 |
| University of Colorado Hospital Anschutz InpatientAurora | 25 | $39,264 | $4,975 | $3,963 |
| Community HospitalGrand Junction | 12 | $30,841 | $4,975 | $3,964 |
| Longmont United HospitalLongmont | – | – | – | – |
| Denver Health Medical CenterDenver | – | – | – | – |
| Memorial Hospital CentralColorado Springs | – | – | – | – |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | – | – | – | – |
| Centura Health-Porter Adventist HospitalDenver | – | – | – | – |
| Adventhealth Castle RockCastle Rock | – | – | – | – |
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
| Animas Surgical Hospital, LLCDurango, CO | $4,916 |
|---|---|
| Community HospitalGrand Junction, CO | $4,975 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $4,975 |
Highest
| University of Colorado Hospital Anschutz InpatientAurora, CO | $4,975 |
|---|---|
| Community HospitalGrand Junction, CO | $4,975 |
| Animas Surgical Hospital, LLCDurango, CO | $4,916 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in Colorado?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 9 hospitals in Colorado was billed at $24,860 on average, while the average medicare-allowed amount was $4,938, of which Medicare paid $3,924. 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 5.0 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.