facebook tracking Level 2 Pacemaker and Similar Procedures cost in Colorado: 36 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Colorado

What 36 hospitals in Colorado charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.

APC 5222 Outpatient 2024 Medicare data
Average charge $53,959 Hospital list price billed
Average allowed $8,104 Medicare's payment + patient's share
Medicare paid $6,468 Average per service
State rank #32 of 48 1 = lowest average payment

Hospitals in Colorado billed an average of $53,959 for level 2 pacemaker and similar procedures, about 6.7 times the average medicare-allowed amount of $8,104. That payment is about the same as the U.S. average of $8,088.

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 $8,104Billed $53,959

About 15¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 2 pacemaker 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
Medical Center of the RockiesLoveland 57 $42,190 $8,087 $6,449
Memorial Hospital CentralColorado Springs 51 $60,731 $8,087 $6,451
Boulder Community HospitalBoulder 43 $42,244 $8,087 $6,455
Parkview Medical Center INCPueblo 38 $44,565 $8,087 $6,455
University of Colorado Hospital Anschutz InpatientAurora 31 $74,337 $8,087 $6,444
Rose Medical CenterDenver 26 $75,811 $7,839 $6,207
Medical Center of Aurora, theAurora 24 $95,599 $7,818 $6,186
St Mary's Hospital and Medical CenterGrand Junction 22 $32,017 $8,659 $7,027
Centura Health-Penrose St Francis Health ServicesColorado Springs 22 $43,687 $8,087 $6,448
Uchealth Highlands Ranch HospitalHighlands Ranch 18 $43,522 $7,729 $6,097
Swedish Medical CenterEnglewood 17 $71,724 $8,087 $6,442
Centura Health-Porter Adventist HospitalDenver 16 $55,132 $8,087 $6,454
Community HospitalGrand Junction 13 $40,588 $8,087 $6,455
Valley View Hospital AssociationGlenwood Springs 13 $43,957 $8,659 $7,017
Centura Health-Littleton Adventist HospitalLittleton 12 $47,593 $8,087 $6,455
Exempla Lutheran Medical CenterWheat Ridge 11 $61,584 $8,087 $6,455
Mercy Medical CenterDurango 11 $41,137 $8,659 $7,027
North Colorado Medical CenterGreeley – – – –
Longmont United HospitalLongmont – – – –
Platte Valley Medical CenterBrighton – – – –
Montrose Memorial HospitalMontrose – – – –
Poudre Valley HospitalFort Collins – – – –
Denver Health Medical CenterDenver – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Exempla Saint Joseph HospitalDenver – – – –
Yampa Valley Medical CenterSteamboat Springs – – – –
HCA Healthone Mountain RidgeThornton – – – –
Vail Valley Medical CenterVail – – – –
Centura Health-St Anthony North HospitalWestminster – – – –
National Jewish HealthDenver – – – –
Sky Ridge Medical CenterLone Tree – – – –
Parker Adventist HospitalParker – – – –
Exempla Good Samaritan Medical Center LLCLafayette – – – –
Adventhealth Castle RockCastle Rock – – – –
Banner Fort Collins Medical CenterFort Collins – – – –
Longs Peak HospitalLongmont – – – –
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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.

Lowest

Uchealth Highlands Ranch HospitalHighlands Ranch, CO$7,729
Medical Center of Aurora, theAurora, CO$7,818
Rose Medical CenterDenver, CO$7,839
Exempla Lutheran Medical CenterWheat Ridge, CO$8,087
Parkview Medical Center INCPueblo, CO$8,087

Highest

Level 2 Pacemaker and Similar Procedures in other states

Questions

How much does level 2 pacemaker and similar procedures cost in Colorado?

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 36 hospitals in Colorado was billed at $53,959 on average, while the average medicare-allowed amount was $8,104, of which Medicare paid $6,468. 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 6.7 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.