Complex GI Procedures in Colorado
What 36 hospitals in Colorado charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$47,026
Hospital list price billed
Average allowed
$5,379
Medicare's payment + patient's share
Medicare paid
$4,284
Average per service
State rank
#34 of 48
1 = lowest average payment
Hospitals in Colorado billed an average of $47,026 for complex gi procedures, about 8.7 times the average medicare-allowed amount of $5,379. That payment is about the same as the U.S. average of $5,364.
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 $5,379Billed $47,026
About 11¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: complex gi procedures
Every Colorado hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| Memorial Hospital CentralColorado Springs, CO | $5,271 |
|---|---|
| University of Colorado Hospital Anschutz InpatientAurora, CO | $5,344 |
| Centura Health-Porter Adventist HospitalDenver, CO | $5,425 |
| Poudre Valley HospitalFort Collins, CO | $5,425 |
| Presbyterian/St Luke's Medical CenterDenver, CO | $5,425 |
Highest
| St Mary's Hospital and Medical CenterGrand Junction, CO | $5,811 |
|---|---|
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $5,425 |
| Poudre Valley HospitalFort Collins, CO | $5,425 |
| Presbyterian/St Luke's Medical CenterDenver, CO | $5,425 |
| Centura Health-Porter Adventist HospitalDenver, CO | $5,425 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Colorado?
In 2024 Medicare data, complex gi procedures (APC 5331) at 36 hospitals in Colorado was billed at $47,026 on average, while the average medicare-allowed amount was $5,379, of which Medicare paid $4,284. 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 8.7 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.