facebook tracking Level 5 Neurostimulator and Related Procedures cost in Colorado: 31 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Colorado

What 31 hospitals in Colorado charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.

APC 5465 Outpatient 2024 Medicare data
Average charge $196,576 Hospital list price billed
Average allowed $29,676 Medicare's payment + patient's share
Medicare paid $28,044 Average per service
State rank #32 of 47 1 = lowest average payment

Hospitals in Colorado billed an average of $196,576 for level 5 neurostimulator and related procedures, about 6.6 times the average medicare-allowed amount of $29,676. That payment is 5% above the U.S. average of $28,354.

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 $29,676Billed $196,576

About 15¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 5 neurostimulator 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
Centura Health-Penrose St Francis Health ServicesColorado Springs 48 $198,055 $29,473 $27,841
University of Colorado Hospital Anschutz InpatientAurora 43 $166,697 $29,473 $27,841
Memorial Hospital CentralColorado Springs 25 $201,745 $29,473 $27,841
St Mary's Hospital and Medical CenterGrand Junction 23 $129,768 $31,563 $29,931
Poudre Valley HospitalFort Collins 18 $136,761 $27,926 $26,294
Centura Health-Littleton Adventist HospitalLittleton 18 $199,476 $29,473 $27,841
Swedish Medical CenterEnglewood 16 $439,455 $29,473 $27,841
Mercy Medical CenterDurango 11 $209,911 $31,563 $29,931
Boulder Community HospitalBoulder 11 $161,383 $29,473 $27,841
North Colorado Medical CenterGreeley – – – –
Longmont United HospitalLongmont – – – –
Platte Valley Medical CenterBrighton – – – –
Montrose Memorial HospitalMontrose – – – –
Exempla Lutheran Medical CenterWheat Ridge – – – –
Presbyterian/St Luke's Medical CenterDenver – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Parkview Medical Center INCPueblo – – – –
Exempla Saint Joseph HospitalDenver – – – –
Banner North Co Medical Center - Loveland CampusLoveland – – – –
Centura Health-Porter Adventist HospitalDenver – – – –
HCA Healthone Mountain RidgeThornton – – – –
Valley View Hospital AssociationGlenwood Springs – – – –
Centura Health-Avista Adventist HospitalLouisville – – – –
Centura Health-St Anthony North HospitalWestminster – – – –
Sky Ridge Medical CenterLone Tree – – – –
Parker Adventist HospitalParker – – – –
Exempla Good Samaritan Medical Center LLCLafayette – – – –
Animas Surgical Hospital, LLCDurango – – – –
Medical Center of the RockiesLoveland – – – –
Adventhealth Castle RockCastle Rock – – – –
Banner Fort Collins Medical CenterFort Collins – – – –
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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

Highest

Mercy Medical CenterDurango, CO$31,563
St Mary's Hospital and Medical CenterGrand Junction, CO$31,563
Memorial Hospital CentralColorado Springs, CO$29,473
University of Colorado Hospital Anschutz InpatientAurora, CO$29,473
Boulder Community HospitalBoulder, CO$29,473

Level 5 Neurostimulator and Related Procedures in other states

Questions

How much does level 5 neurostimulator and related procedures cost in Colorado?

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 31 hospitals in Colorado was billed at $196,576 on average, while the average medicare-allowed amount was $29,676, of which Medicare paid $28,044. 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 6.6 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.