What 39 hospitals in Colorado charged and were paid for level 2 endovascular procedures (APC 5192), from 2024 Medicare claims.
APC 5192Outpatient2024 Medicare data
Average charge$38,539Hospital list price billed
Average allowed$5,468Medicare's payment + patient's share
Medicare paid$4,349Average per service
State rank#31 of 481 = lowest average payment
Hospitals in Colorado billed an average of $38,539 for level 2 endovascular procedures, about 7.0 times the average medicare-allowed amount of $5,468. That payment is about the same as the U.S. average of $5,463.
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 $5,468Billed $38,539
About 14¢ was paid for every $1 hospitals in Colorado billed for this service.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
How much does level 2 endovascular procedures cost in Colorado?
In 2024 Medicare data, level 2 endovascular procedures (APC 5192) at 39 hospitals in Colorado was billed at $38,539 on average, while the average medicare-allowed amount was $5,468, of which Medicare paid $4,349. 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 7.0 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.