Colorado · 11302

Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm in Colorado

Colorado Medicare Avg
$73.53
13% below national avg
National Medicare Avg
$84.58
All states combined
Billed Charge (CO)
$229.30
What providers submit
Est. Commercial (CO)
$221.28
National avg: $253.39
Est. Cash / Self-Pay (CO)
$135.22
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.6K
Services in CO
171
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Colorado

Provider Medicare Services
Swinehart, James MD $59.64 853

Colorado Pricing in Context

In Colorado, CPT code 11302 (Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm) carries an average Medicare payment of $73.53 — 13% below the national benchmark of $84.58. 171 providers across the state submitted claims for this procedure in 2023, performing 1.6K total services. Individual payments in CO ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Colorado is $229.30, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Colorado sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in Colorado lands near $221.28, with self-pay cash prices typically around $135.22. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm cost in Colorado?

The average Medicare payment for Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm in Colorado is $73.53, which is 13% below the national average of $84.58. Providers in CO typically bill $229.30 for this procedure.

What does Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm cost with insurance in Colorado?

With commercial insurance in Colorado, Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm costs an estimated $221.28. Without insurance, the estimated cash price is $135.22. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm in Colorado?

171 providers in Colorado billed Medicare for Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm in 2023, performing 1.6K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm cheaper in Colorado than the national average?

Yes — Shaving Of Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm costs 13% below the national average in Colorado. The state average Medicare payment is $73.53 compared to $84.58 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial