Level 4 Extraocular, Repair, and Plastic Eye Procedures in Colorado
What 8 hospitals in Colorado charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$26,090
Hospital list price billed
Average allowed
$3,681
Medicare's payment + patient's share
Medicare paid
$2,932
Average per service
State rank
#26 of 34
1 = lowest average payment
Hospitals in Colorado billed an average of $26,090 for level 4 extraocular, repair, and plastic eye procedures, about 7.1 times the average medicare-allowed amount of $3,681. That payment is 2% below the U.S. average of $3,737.
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 $3,681Billed $26,090
About 14¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 4 extraocular, repair, and plastic eye 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 | 38 | $26,090 | $3,681 | $2,932 |
| Denver Health Medical CenterDenver | – | – | – | – |
| Presbyterian/St Luke's Medical CenterDenver | – | – | – | – |
| Banner North Co Medical Center - Loveland CampusLoveland | – | – | – | – |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | – | – | – | – |
| Swedish Medical CenterEnglewood | – | – | – | – |
| Centura Health-Porter Adventist HospitalDenver | – | – | – | – |
| Animas Surgical Hospital, LLCDurango | – | – | – | – |
Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 4 extraocular, repair, and plastic eye procedures cost in Colorado?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 8 hospitals in Colorado was billed at $26,090 on average, while the average medicare-allowed amount was $3,681, of which Medicare paid $2,932. 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 7.1 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.