facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in Colorado: 19 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in Colorado

What 19 hospitals in Colorado charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.

APC 5094 Outpatient 2024 Medicare data
Average charge – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

Colorado hospitals: level 4 breast/lymphatic surgery and related 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
Longmont United HospitalLongmont – – – –
Exempla Lutheran Medical CenterWheat Ridge – – – –
Poudre Valley HospitalFort Collins – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Parkview Medical Center INCPueblo – – – –
Memorial Hospital CentralColorado Springs – – – –
St Mary's Hospital and Medical CenterGrand Junction – – – –
University of Colorado Hospital Anschutz InpatientAurora – – – –
Banner North Co Medical Center - Loveland CampusLoveland – – – –
Rose Medical CenterDenver – – – –
Yampa Valley Medical CenterSteamboat Springs – – – –
Valley View Hospital AssociationGlenwood Springs – – – –
Vail Valley Medical CenterVail – – – –
Centura Health-Avista Adventist HospitalLouisville – – – –
Sky Ridge Medical CenterLone Tree – – – –
Exempla Good Samaritan Medical Center LLCLafayette – – – –
Medical Center of the RockiesLoveland – – – –
Adventhealth Castle RockCastle Rock – – – –
Uchealth Highlands Ranch HospitalHighlands Ranch – – – –
Level 4 Breast/Lymphatic Surgery and Related Procedures: all states All Colorado hospitals Colorado hospital finances
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Level 4 Breast/Lymphatic Surgery and Related Procedures in other states

Arkansas · $15,076 Indiana · $14,054 Kentucky · $14,052 Louisiana · $14,872 Missouri · $13,594 Ohio · $15,288 Oklahoma · $15,153 Tennessee · $14,684

Questions

How much does level 4 breast/lymphatic surgery and related procedures cost in Colorado?

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 19 hospitals in Colorado was billed at – on average, while the average medicare-allowed amount was –. 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. 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.