facebook tracking Level 3 ENT Procedures cost in Colorado: 25 hospitals compared (APC 5163)

Level 3 ENT Procedures in Colorado

What 25 hospitals in Colorado charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $8,598 Hospital list price billed
Average allowed $1,452 Medicare's payment + patient's share
Medicare paid $1,151 Average per service
State rank #34 of 44 1 = lowest average payment

Hospitals in Colorado billed an average of $8,598 for level 3 ent procedures, about 5.9 times the average medicare-allowed amount of $1,452. That payment is 4% above the U.S. average of $1,397.

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 $1,452Billed $8,598

About 17¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 3 ent 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 36 $8,598 $1,452 $1,151
North Colorado Medical CenterGreeley – – – –
San Luis Valley Regional Medical CenterAlamosa – – – –
Exempla Lutheran Medical CenterWheat Ridge – – – –
Poudre Valley HospitalFort Collins – – – –
Denver Health Medical CenterDenver – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Memorial Hospital CentralColorado Springs – – – –
Exempla Saint Joseph HospitalDenver – – – –
Centura Health-Penrose St Francis Health ServicesColorado Springs – – – –
Rose Medical CenterDenver – – – –
Swedish Medical CenterEnglewood – – – –
Yampa Valley Medical CenterSteamboat Springs – – – –
Community HospitalGrand Junction – – – –
Sterling Regional MedcenterSterling – – – –
Vail Valley Medical CenterVail – – – –
Medical Center of Aurora, theAurora – – – –
Centura Health-St Anthony North HospitalWestminster – – – –
Centura Health-Littleton Adventist HospitalLittleton – – – –
Parker Adventist HospitalParker – – – –
Exempla Good Samaritan Medical Center LLCLafayette – – – –
Medical Center of the RockiesLoveland – – – –
Adventhealth Castle RockCastle Rock – – – –
Uchealth Greeley HospitalGreeley – – – –
Uchealth Highlands Ranch HospitalHighlands Ranch – – – –
Level 3 ENT Procedures: all states All Colorado hospitals Colorado hospital finances
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Level 3 ENT Procedures in other states

Maine · $1,393 Minnesota · $1,457 Montana · $1,427 North Dakota · $1,430 South Dakota · $1,469 Texas · $1,383 Washington · $1,473 Wisconsin · $1,418

Questions

How much does level 3 ent procedures cost in Colorado?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 25 hospitals in Colorado was billed at $8,598 on average, while the average medicare-allowed amount was $1,452, of which Medicare paid $1,151. 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 5.9 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.