Level 4 Pacemaker and Similar Procedures in Colorado
What 26 hospitals in Colorado charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$128,641
Hospital list price billed
Average allowed
$18,588
Medicare's payment + patient's share
Medicare paid
$16,954
Average per service
State rank
#30 of 47
1 = lowest average payment
Hospitals in Colorado billed an average of $128,641 for level 4 pacemaker and similar procedures, about 6.9 times the average medicare-allowed amount of $18,588. That payment is about the same as the U.S. average of $18,685.
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 $18,588Billed $128,641
About 14¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 4 pacemaker and similar 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
| University of Colorado Hospital Anschutz InpatientAurora, CO | $16,972 |
|---|---|
| Exempla Lutheran Medical CenterWheat Ridge, CO | $18,506 |
| Poudre Valley HospitalFort Collins, CO | $18,506 |
| Memorial Hospital CentralColorado Springs, CO | $18,506 |
| Boulder Community HospitalBoulder, CO | $18,506 |
Highest
| St Mary's Hospital and Medical CenterGrand Junction, CO | $19,818 |
|---|---|
| North Colorado Medical CenterGreeley, CO | $18,578 |
| Community HospitalGrand Junction, CO | $18,507 |
| Parkview Medical Center INCPueblo, CO | $18,506 |
| Exempla Lutheran Medical CenterWheat Ridge, CO | $18,506 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Colorado?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 26 hospitals in Colorado was billed at $128,641 on average, while the average medicare-allowed amount was $18,588, of which Medicare paid $16,954. 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 6.9 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.