facebook tracking Level 2 Upper GI Procedures cost in Colorado: 45 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in Colorado

What 45 hospitals in Colorado charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $14,815 Hospital list price billed
Average allowed $1,819 Medicare's payment + patient's share
Medicare paid $1,449 Average per service
State rank #33 of 49 1 = lowest average payment

Hospitals in Colorado billed an average of $14,815 for level 2 upper gi procedures, about 8.1 times the average medicare-allowed amount of $1,819. That payment is about the same as the U.S. average of $1,815.

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 $1,819Billed $14,815

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

Colorado hospitals: level 2 upper gi 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 649 $14,170 $1,796 $1,427
Memorial Hospital CentralColorado Springs 251 $19,225 $1,808 $1,440
Poudre Valley HospitalFort Collins 232 $11,034 $1,805 $1,437
Centura Health-Penrose St Francis Health ServicesColorado Springs 214 $12,938 $1,811 $1,442
Centura Health-Porter Adventist HospitalDenver 177 $10,258 $1,789 $1,421
Valley View Hospital AssociationGlenwood Springs 174 $7,029 $1,940 $1,556
National Jewish HealthDenver 141 $11,989 $1,811 $1,460
Medical Center of the RockiesLoveland 115 $13,174 $1,785 $1,421
Exempla Good Samaritan Medical Center LLCLafayette 106 $25,282 $1,798 $1,435
Exempla Lutheran Medical CenterWheat Ridge 104 $18,542 $1,797 $1,430
St Mary's Hospital and Medical CenterGrand Junction 90 $14,116 $1,940 $1,544
Longs Peak HospitalLongmont 86 $18,597 $1,778 $1,412
Mercy Medical CenterDurango 81 $11,846 $1,940 $1,558
Presbyterian/St Luke's Medical CenterDenver 72 $31,864 $1,811 $1,442
Community HospitalGrand Junction 68 $10,352 $1,786 $1,419
North Colorado Medical CenterGreeley 66 $9,799 $1,818 $1,454
Centura Health-Littleton Adventist HospitalLittleton 56 $8,238 $1,811 $1,445
Uchealth Highlands Ranch HospitalHighlands Ranch 55 $19,089 $1,811 $1,450
Sky Ridge Medical CenterLone Tree 52 $50,978 $1,784 $1,417
Centura Health-St Anthony Central HospitalDenver 48 $13,839 $1,781 $1,413
Centura Health-St Mary Corwin Medical CenterPueblo 46 $11,994 $1,811 $1,439
Yampa Valley Medical CenterSteamboat Springs 42 $5,304 $1,940 $1,554
Centura Health-Avista Adventist HospitalLouisville 42 $7,968 $1,811 $1,446
Parkview Medical Center INCPueblo 40 $8,930 $1,811 $1,445
Medical Center of Aurora, theAurora 40 $41,010 $1,811 $1,445
Parker Adventist HospitalParker 35 $8,764 $1,811 $1,448
Boulder Community HospitalBoulder 34 $13,976 $1,811 $1,443
Swedish Medical CenterEnglewood 31 $21,359 $1,811 $1,446
Adventhealth Castle RockCastle Rock 31 $11,950 $1,811 $1,453
Uchealth Greeley HospitalGreeley 31 $13,871 $1,818 $1,452
Rose Medical CenterDenver 29 $22,657 $1,811 $1,443
Delta County Memorial HospitalDelta 29 $4,747 $1,940 $1,546
Exempla Saint Joseph HospitalDenver 26 $19,179 $1,811 $1,442
Banner North Co Medical Center - Loveland CampusLoveland 23 $11,329 $1,811 $1,447
Denver Health Medical CenterDenver 20 $5,602 $1,811 $1,443
Centura Health-St Anthony North HospitalWestminster 16 $8,768 $1,812 $1,438
Longmont United HospitalLongmont – – – –
Platte Valley Medical CenterBrighton – – – –
Montrose Memorial HospitalMontrose – – – –
San Luis Valley Regional Medical CenterAlamosa – – – –
St Elizabeth HospitalFort Morgan – – – –
Sterling Regional MedcenterSterling – – – –
Vail Valley Medical CenterVail – – – –
Banner Fort Collins Medical CenterFort Collins – – – –
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.

Lowest

Longs Peak HospitalLongmont, CO$1,778
Centura Health-St Anthony Central HospitalDenver, CO$1,781
Sky Ridge Medical CenterLone Tree, CO$1,784
Medical Center of the RockiesLoveland, CO$1,785
Community HospitalGrand Junction, CO$1,786

Highest

St Mary's Hospital and Medical CenterGrand Junction, CO$1,940
Delta County Memorial HospitalDelta, CO$1,940
Yampa Valley Medical CenterSteamboat Springs, CO$1,940
Valley View Hospital AssociationGlenwood Springs, CO$1,940
Mercy Medical CenterDurango, CO$1,940

Level 2 Upper GI Procedures in other states

Questions

How much does level 2 upper gi procedures cost in Colorado?

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 45 hospitals in Colorado was billed at $14,815 on average, while the average medicare-allowed amount was $1,819, of which Medicare paid $1,449. 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 8.1 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.