facebook tracking Level 1 Nerve Procedures cost in Colorado: 46 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Colorado

What 46 hospitals in Colorado charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $14,477 Hospital list price billed
Average allowed $1,845 Medicare's payment + patient's share
Medicare paid $1,466 Average per service
State rank #34 of 49 1 = lowest average payment

Hospitals in Colorado billed an average of $14,477 for level 1 nerve procedures, about 7.8 times the average medicare-allowed amount of $1,845. That payment is 4% above the U.S. average of $1,774.

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 $1,845Billed $14,477

About 13¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 1 nerve 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
University of Colorado Hospital Anschutz InpatientAurora 288 $19,763 $1,825 $1,445
Adventhealth Castle RockCastle Rock 102 $13,777 $1,838 $1,462
Centura Health-St Anthony Central HospitalDenver 91 $11,828 $1,838 $1,459
Centura Health-Penrose St Francis Health ServicesColorado Springs 85 $12,641 $1,838 $1,464
Memorial Hospital CentralColorado Springs 71 $16,450 $1,838 $1,464
Montrose Memorial HospitalMontrose 70 $10,436 $1,969 $1,567
Centura Health-Avista Adventist HospitalLouisville 69 $11,114 $1,838 $1,455
Animas Surgical Hospital, LLCDurango 69 $17,935 $1,825 $1,453
Longmont United HospitalLongmont 59 $11,681 $1,838 $1,459
Centura Health-St Anthony North HospitalWestminster 58 $7,822 $1,838 $1,464
Parkview Medical Center INCPueblo 46 $15,111 $1,810 $1,433
Valley View Hospital AssociationGlenwood Springs 44 $7,109 $1,772 $1,411
Poudre Valley HospitalFort Collins 41 $15,994 $1,838 $1,463
Mercy Medical CenterDurango 32 $36,240 $1,919 $1,519
Centura Health-Porter Adventist HospitalDenver 30 $9,287 $1,838 $1,463
Uchealth Grandview HospitalColorado Springs 30 $10,359 $1,838 $1,464
St Mary's Hospital and Medical CenterGrand Junction 24 $11,378 $1,903 $1,503
North Colorado Medical CenterGreeley 18 $10,524 $1,845 $1,470
San Luis Valley Regional Medical CenterAlamosa 18 $3,697 $1,968 $1,568
Delta County Memorial HospitalDelta 18 $6,917 $1,969 $1,563
Medical Center of the RockiesLoveland 13 $14,629 $1,838 $1,464
Denver Health Medical CenterDenver 11 $7,399 $1,838 $1,464
Platte Valley Medical CenterBrighton – – – –
Centura Health-St Mary Corwin Medical CenterPueblo – – – –
Presbyterian/St Luke's Medical CenterDenver – – – –
Boulder Community HospitalBoulder – – – –
Exempla Saint Joseph HospitalDenver – – – –
Banner North Co Medical Center - Loveland CampusLoveland – – – –
Rose Medical CenterDenver – – – –
Swedish Medical CenterEnglewood – – – –
St Elizabeth HospitalFort Morgan – – – –
Yampa Valley Medical CenterSteamboat Springs – – – –
Community HospitalGrand Junction – – – –
Sterling Regional MedcenterSterling – – – –
Vail Valley Medical CenterVail – – – –
Medical Center of Aurora, theAurora – – – –
Sky Ridge Medical CenterLone Tree – – – –
Centura Health-Littleton Adventist HospitalLittleton – – – –
Parker Adventist HospitalParker – – – –
Orthocolorado Hospital at St Anthony Med CampusDenver – – – –
Banner Fort Collins Medical CenterFort Collins – – – –
Longs Peak HospitalLongmont – – – –
Uchealth Broomfield HospitalBroomfield – – – –
Uchealth Greeley HospitalGreeley – – – –
Uchealth Highlands Ranch HospitalHighlands Ranch – – – –
St Francis Hospital - InterquestColorado Springs – – – –
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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.

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Colorado?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 46 hospitals in Colorado was billed at $14,477 on average, while the average medicare-allowed amount was $1,845, of which Medicare paid $1,466. 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 7.8 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.