Colorado · 58262

Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less in Colorado

Colorado Medicare Avg
$620.35
4% above national avg
National Medicare Avg
$596.15
All states combined
Billed Charge (CO)
$2,680.33
What providers submit
Est. Commercial (CO)
$1,782.82
National avg: $1,682.87
Est. Cash / Self-Pay (CO)
$1,318.45
Typical self-pay discount

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

63
Services in CO
35
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Colorado

Provider Medicare Services
Joyce, John M.D. $686.66 12

Colorado Pricing in Context

In Colorado, CPT code 58262 (Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less) carries an average Medicare payment of $620.35 — 4% above the national benchmark of $596.15. 35 providers across the state submitted claims for this procedure in 2023, performing 63 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 $2,680.33, 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 above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Female Reproductive Surgery procedures, the estimated commercial insurance price in Colorado lands near $1,782.82, with self-pay cash prices typically around $1,318.45. 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 Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less cost in Colorado?

The average Medicare payment for Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less in Colorado is $620.35, which is 4% above the national average of $596.15. Providers in CO typically bill $2,680.33 for this procedure.

What does Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less cost with insurance in Colorado?

With commercial insurance in Colorado, Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less costs an estimated $1,782.82. Without insurance, the estimated cash price is $1,318.45. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less in Colorado?

35 providers in Colorado billed Medicare for Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less in 2023, performing 63 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less cheaper in Colorado than the national average?

No — Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less costs 4% above the national average in Colorado. The state average Medicare payment is $620.35 compared to $596.15 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