Level 4 ENT Procedures in Colorado
What 34 hospitals in Colorado charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$30,519
Hospital list price billed
Average allowed
$3,065
Medicare's payment + patient's share
Medicare paid
$2,440
Average per service
State rank
#36 of 48
1 = lowest average payment
Hospitals in Colorado billed an average of $30,519 for level 4 ent procedures, about 10.0 times the average medicare-allowed amount of $3,065. That payment is 10% above the U.S. average of $2,798.
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 $3,065Billed $30,519
About 10¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 4 ent procedures
Every Colorado hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| Memorial Hospital CentralColorado Springs, CO | $3,065 |
|---|---|
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $3,065 |
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $3,065 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $3,065 |
Highest
| University of Colorado Hospital Anschutz InpatientAurora, CO | $3,065 |
|---|---|
| Memorial Hospital CentralColorado Springs, CO | $3,065 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $3,065 |
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $3,065 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Colorado?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 34 hospitals in Colorado was billed at $30,519 on average, while the average medicare-allowed amount was $3,065, of which Medicare paid $2,440. 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 10.0 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.