facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Colorado: 49 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Colorado

What 49 hospitals in Colorado charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.

APC 5072 Outpatient 2024 Medicare data
Average charge $13,888 Hospital list price billed
Average allowed $1,548 Medicare's payment + patient's share
Medicare paid $1,229 Average per service
State rank #34 of 49 1 = lowest average payment

Hospitals in Colorado billed an average of $13,888 for level 2 excision/biopsy/incision and drainage, about 9.0 times the average medicare-allowed amount of $1,548. That payment is about the same as the U.S. average of $1,539.

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 $1,548Billed $13,888

About 11¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 2 excision/biopsy/incision and drainage

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 602 $12,581 $1,533 $1,219
Poudre Valley HospitalFort Collins 332 $10,354 $1,529 $1,213
Memorial Hospital CentralColorado Springs 317 $13,230 $1,528 $1,211
Boulder Community HospitalBoulder 208 $13,617 $1,534 $1,219
St Mary's Hospital and Medical CenterGrand Junction 186 $10,031 $1,653 $1,314
Centura Health-Penrose St Francis Health ServicesColorado Springs 131 $14,088 $1,543 $1,229
Centura Health-St Anthony Central HospitalDenver 129 $13,580 $1,535 $1,220
Uchealth Greeley HospitalGreeley 114 $10,337 $1,540 $1,220
Mercy Medical CenterDurango 105 $15,705 $1,637 $1,300
Community HospitalGrand Junction 103 $14,566 $1,543 $1,230
Parkview Medical Center INCPueblo 100 $12,778 $1,531 $1,216
Rose Medical CenterDenver 98 $28,034 $1,543 $1,225
Exempla Lutheran Medical CenterWheat Ridge 89 $13,344 $1,526 $1,215
Presbyterian/St Luke's Medical CenterDenver 88 $31,491 $1,543 $1,228
Parker Adventist HospitalParker 83 $12,023 $1,522 $1,208
Uchealth Highlands Ranch HospitalHighlands Ranch 80 $14,935 $1,543 $1,230
Longs Peak HospitalLongmont 78 $12,476 $1,449 $1,143
Centura Health-St Mary Corwin Medical CenterPueblo 75 $13,535 $1,543 $1,227
Centura Health-St Anthony North HospitalWestminster 70 $12,817 $1,513 $1,202
Medical Center of Aurora, theAurora 67 $29,822 $1,507 $1,186
Medical Center of the RockiesLoveland 65 $12,623 $1,543 $1,227
Exempla Saint Joseph HospitalDenver 63 $13,892 $1,544 $1,223
Yampa Valley Medical CenterSteamboat Springs 61 $7,186 $1,653 $1,315
Centura Health-Porter Adventist HospitalDenver 60 $12,663 $1,525 $1,211
Longmont United HospitalLongmont 58 $13,381 $1,524 $1,207
Denver Health Medical CenterDenver 58 $5,840 $1,543 $1,226
Sky Ridge Medical CenterLone Tree 57 $38,951 $1,543 $1,226
Delta County Memorial HospitalDelta 55 $4,834 $1,653 $1,311
Valley View Hospital AssociationGlenwood Springs 54 $9,194 $1,634 $1,297
Swedish Medical CenterEnglewood 53 $32,858 $1,514 $1,206
Centura Health-Littleton Adventist HospitalLittleton 52 $11,442 $1,543 $1,229
Exempla Good Samaritan Medical Center LLCLafayette 52 $12,453 $1,520 $1,202
North Colorado Medical CenterGreeley 46 $10,771 $1,523 $1,208
Platte Valley Medical CenterBrighton 43 $10,171 $1,515 $1,201
San Luis Valley Regional Medical CenterAlamosa 42 $6,469 $1,653 $1,317
Montrose Memorial HospitalMontrose 41 $8,108 $1,653 $1,315
Vail Valley Medical CenterVail 41 $7,538 $1,653 $1,314
Centura Health-Avista Adventist HospitalLouisville 35 $12,260 $1,544 $1,221
Banner North Co Medical Center - Loveland CampusLoveland 33 $9,776 $1,506 $1,192
Adventhealth Castle RockCastle Rock 28 $14,006 $1,488 $1,184
HCA Healthone Mountain RidgeThornton 20 $39,543 $1,543 $1,230
Sterling Regional MedcenterSterling 17 $8,543 $1,653 $1,317
St Elizabeth HospitalFort Morgan – – – –
Animas Surgical Hospital, LLCDurango – – – –
St Anthony Summit Medical CenterBreckenridge – – – –
Uchealth Broomfield HospitalBroomfield – – – –
Uchealth Grandview HospitalColorado Springs – – – –
St Francis Hospital - InterquestColorado Springs – – – –
Children's HospitalDenver – – – –
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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.

Highest

Delta County Memorial HospitalDelta, CO$1,653
St Mary's Hospital and Medical CenterGrand Junction, CO$1,653
Vail Valley Medical CenterVail, CO$1,653
Montrose Memorial HospitalMontrose, CO$1,653
Yampa Valley Medical CenterSteamboat Springs, CO$1,653

Level 2 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 2 excision/biopsy/incision and drainage cost in Colorado?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 49 hospitals in Colorado was billed at $13,888 on average, while the average medicare-allowed amount was $1,548, of which Medicare paid $1,229. 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 9.0 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.