facebook tracking Level 2 Electrophysiologic Procedures cost in Colorado: 20 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Colorado

What 20 hospitals in Colorado charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $58,019 Hospital list price billed
Average allowed $7,109 Medicare's payment + patient's share
Medicare paid $5,664 Average per service
State rank #27 of 41 1 = lowest average payment

Hospitals in Colorado billed an average of $58,019 for level 2 electrophysiologic procedures, about 8.2 times the average medicare-allowed amount of $7,109. That payment is about the same as the U.S. average of $7,114.

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 $7,109Billed $58,019

About 12¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 2 electrophysiologic 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
Medical Center of the RockiesLoveland 18 $37,481 $7,109 $5,664
Boulder Community HospitalBoulder 17 $93,911 $7,109 $5,664
Parkview Medical Center INCPueblo 13 $40,498 $7,109 $5,664
Centura Health-Porter Adventist HospitalDenver 13 $57,042 $7,109 $5,664
North Colorado Medical CenterGreeley – – – –
Poudre Valley HospitalFort Collins – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Memorial Hospital CentralColorado Springs – – – –
St Mary's Hospital and Medical CenterGrand Junction – – – –
University of Colorado Hospital Anschutz InpatientAurora – – – –
Exempla Saint Joseph HospitalDenver – – – –
Centura Health-Penrose St Francis Health ServicesColorado Springs – – – –
Rose Medical CenterDenver – – – –
Swedish Medical CenterEnglewood – – – –
HCA Healthone Mountain RidgeThornton – – – –
Valley View Hospital AssociationGlenwood Springs – – – –
Vail Valley Medical CenterVail – – – –
Medical Center of Aurora, theAurora – – – –
Exempla Good Samaritan Medical Center LLCLafayette – – – –
Banner Fort Collins Medical CenterFort Collins – – – –
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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 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Colorado?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 20 hospitals in Colorado was billed at $58,019 on average, while the average medicare-allowed amount was $7,109, of which Medicare paid $5,664. 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 8.2 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.