facebook tracking Level 1 ICD and Similar Procedures cost in Colorado: 25 hospitals compared (APC 5231)

Level 1 ICD and Similar Procedures in Colorado

What 25 hospitals in Colorado charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.

APC 5231 Outpatient 2024 Medicare data
Average charge – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

Colorado hospitals: level 1 icd and similar 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
North Colorado Medical CenterGreeley – – – –
Exempla Lutheran Medical CenterWheat Ridge – – – –
Poudre Valley HospitalFort Collins – – – –
Mercy Medical CenterDurango – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Parkview Medical Center INCPueblo – – – –
Memorial Hospital CentralColorado Springs – – – –
St Mary's Hospital and Medical CenterGrand Junction – – – –
University of Colorado Hospital Anschutz InpatientAurora – – – –
Boulder Community HospitalBoulder – – – –
Exempla Saint Joseph HospitalDenver – – – –
Centura Health-Penrose St Francis Health ServicesColorado Springs – – – –
Rose Medical CenterDenver – – – –
Yampa Valley Medical CenterSteamboat Springs – – – –
Community HospitalGrand Junction – – – –
Centura Health-Porter Adventist HospitalDenver – – – –
Vail Valley Medical CenterVail – – – –
Medical Center of Aurora, theAurora – – – –
Centura Health-St Anthony North HospitalWestminster – – – –
Sky Ridge Medical CenterLone Tree – – – –
Centura Health-Littleton Adventist HospitalLittleton – – – –
Parker Adventist HospitalParker – – – –
Medical Center of the RockiesLoveland – – – –
Banner Fort Collins Medical CenterFort Collins – – – –
Uchealth Highlands Ranch HospitalHighlands Ranch – – – –
Level 1 ICD and Similar Procedures: all states All Colorado hospitals Colorado hospital finances
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Level 1 ICD and Similar Procedures in other states

Alabama · $19,862 Arkansas · $18,906 Kentucky · $19,787 Missouri · $19,924 Ohio · $20,062 Oklahoma · $19,509 South Carolina · $20,122 Tennessee · $19,646

Questions

How much does level 1 icd and similar procedures cost in Colorado?

In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 25 hospitals in Colorado was billed at – on average, while the average medicare-allowed amount was –. 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. 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.