facebook tracking Level 8 Urology and Related Services cost in Colorado: 16 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Colorado

What 16 hospitals in Colorado charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.

APC 5378 Outpatient 2024 Medicare data
Average charge $122,851 Hospital list price billed
Average allowed $19,157 Medicare's payment + patient's share
Medicare paid $17,525 Average per service
State rank #26 of 38 1 = lowest average payment

Hospitals in Colorado billed an average of $122,851 for level 8 urology and related services, about 6.4 times the average medicare-allowed amount of $19,157. That payment is about the same as the U.S. average of $19,057.

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 $19,157Billed $122,851

About 16¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 8 urology and related services

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 38 $132,314 $19,157 $17,525
University of Colorado Hospital Anschutz InpatientAurora 29 $110,450 $19,157 $17,525
North Colorado Medical CenterGreeley – – – –
Exempla Lutheran Medical CenterWheat Ridge – – – –
Poudre Valley HospitalFort Collins – – – –
Mercy Medical CenterDurango – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
Memorial Hospital CentralColorado Springs – – – –
St Mary's Hospital and Medical CenterGrand Junction – – – –
Exempla Saint Joseph HospitalDenver – – – –
Community HospitalGrand Junction – – – –
Valley View Hospital AssociationGlenwood Springs – – – –
Sky Ridge Medical CenterLone Tree – – – –
Parker Adventist HospitalParker – – – –
Uchealth Greeley HospitalGreeley – – – –
Uchealth Highlands Ranch HospitalHighlands Ranch – – – –
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Level 8 Urology and Related Services in other states

Questions

How much does level 8 urology and related services cost in Colorado?

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 16 hospitals in Colorado was billed at $122,851 on average, while the average medicare-allowed amount was $19,157, of which Medicare paid $17,525. 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 6.4 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.