Level 5 ENT Procedures in Colorado
What 37 hospitals in Colorado charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$50,847
Hospital list price billed
Average allowed
$5,588
Medicare's payment + patient's share
Medicare paid
$4,443
Average per service
State rank
#33 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $50,847 for level 5 ent procedures, about 9.1 times the average medicare-allowed amount of $5,588. That payment is about the same as the U.S. average of $5,586.
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 $5,588Billed $50,847
About 11¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 5 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
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $5,379 |
|---|---|
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $5,427 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $5,546 |
| Centura Health-St Anthony Central HospitalDenver, CO | $5,575 |
| Memorial Hospital CentralColorado Springs, CO | $5,575 |
Highest
| Mercy Medical CenterDurango, CO | $5,971 |
|---|---|
| St Mary's Hospital and Medical CenterGrand Junction, CO | $5,971 |
| Poudre Valley HospitalFort Collins, CO | $5,575 |
| Centura Health-St Anthony Central HospitalDenver, CO | $5,575 |
| Memorial Hospital CentralColorado Springs, CO | $5,575 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Colorado?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 37 hospitals in Colorado was billed at $50,847 on average, while the average medicare-allowed amount was $5,588, of which Medicare paid $4,443. 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 9.1 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.