Level 1 Breast/Lymphatic Surgery and Related Procedures in Colorado
What 45 hospitals in Colorado charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$31,417
Hospital list price billed
Average allowed
$3,624
Medicare's payment + patient's share
Medicare paid
$2,882
Average per service
State rank
#32 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $31,417 for level 1 breast/lymphatic surgery and related procedures, about 8.7 times the average medicare-allowed amount of $3,624. That payment is 2% below the U.S. average of $3,688.
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 $3,624Billed $31,417
About 12¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 1 breast/lymphatic surgery and related 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
| North Colorado Medical CenterGreeley, CO | $3,506 |
|---|---|
| Exempla Lutheran Medical CenterWheat Ridge, CO | $3,513 |
| Memorial Hospital CentralColorado Springs, CO | $3,544 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $3,565 |
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $3,568 |
Highest
| Mercy Medical CenterDurango, CO | $3,886 |
|---|---|
| Valley View Hospital AssociationGlenwood Springs, CO | $3,886 |
| Vail Valley Medical CenterVail, CO | $3,886 |
| Uchealth Greeley HospitalGreeley, CO | $3,643 |
| Poudre Valley HospitalFort Collins, CO | $3,629 |
Level 1 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 1 breast/lymphatic surgery and related procedures cost in Colorado?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 45 hospitals in Colorado was billed at $31,417 on average, while the average medicare-allowed amount was $3,624, of which Medicare paid $2,882. 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.