CO CMS Medicare PUF 2023 Avg payment #10 of 56

Colorado procedure costs

97 hospitals · 2,284 Medicare providers · 4,292 procedure codes with Colorado locality adjustments.

The short answer

Colorado has 97 hospitals and 2,284 Medicare-billing providers across 4,292 procedure codes. The average Medicare payment per procedure is $268.29; the average submitted (billed) charge is $1,553.58.

Procedure codes
4,292
Providers per hospital
23.5
Billed-to-Medicare ratio
5.8x
Markup rank
#20 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

97
Hospitals
2,284
Providers
$268.29
Avg Medicare Payment
$1,553.58
Avg Billed Charge

Colorado against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$268 higher than 82% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Colorado

Highest average Medicare payment per procedure billed in Colorado. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Colorado

Sipuleucel-T, Minimum Of 50 …41115Radioelements For Brachyther…14034Cochlear Implant, External S…7313Not Otherwise Classified, An…6855Insertion Of Spinal Neurosti…6264Insertion Of Peripheral Or G…5703Cystourethroscopy, With Inse…5649Cystourethroscopy, With Inse…5548
Top procedures by Medicare payment - Colorado-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Injection, Daptomycin, 1 Mg $0.04 3.4M
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.64 2.5M
Injection, Onabotulinumtoxina, 1 Unit $4.85 1.7M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 1.3M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $78.77 1.2M
Injection, Tocilizumab, 1 Mg $4.64 1.0M
Ground Mileage, Per Statute Mile $7.40 904.9K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $18.31 858.7K
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $57.01 852.2K
Injection, Romosozumab-Aqqg, 1 Mg $7.91 757.6K
Therapy Procedure Using Manual Technique, Each 15 Minutes $16.17 720.6K
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.89 690.0K
Injection, Testosterone Cypionate, 1 Mg $0.02 660.2K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 655.4K
Injection, Denosumab, 1 Mg $18.22 645.0K
Injection, Faricimab-Svoa, 0.1 Mg $28.88 644.9K
Therapy Procedure Using Functional Activities $25.24 639.8K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $21.59 601.8K
Hyaluronan Or Derivative, Gelsyn-3, For Intra-Articular Injection, 0.1 Mg $0.54 515.4K
Injection, Pembrolizumab, 1 Mg $43.09 470.5K
Administration Of Influenza Virus Vaccine $30.05 455.5K
Injection, Fosaprepitant, 1 Mg $0.12 454.1K
Admn Sarscov2 Vacc 1 Dose $35.70 399.2K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.14 368.7K
Destruction Of Precancer Skin Growth, 2-14 Growths $4.93 363.1K
Injection, Daratumumab, 10 Mg And Hyaluronidase-Fihj $37.87 355.5K
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.09 331.8K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.27 327.9K
Injection, Filgrastim-Sndz, Biosimilar, (zarxio), 1 Microgram $0.16 321.5K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 319.3K

Colorado Healthcare Cost Landscape

CMS lists 97 hospitals in Colorado across 68 cities. COLORADO SPRINGS holds 7 (7%). The three densest cities together hold 19% of the state roster. Statewide that is 2,284 Medicare-billing providers, 23.5 per listed hospital.

45 hospitals carry a CMS overall star rating (12 five-star, 19 four-star, 11 three-star, 2 two-star, 1 one-star) ; five-star share among rated facilities is 27%. 52 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 51 (53%); Critical Access Hospitals 32 (33%); Psychiatric 9 (9%); Acute Care - Veterans Administration 2 (2%).

Among the 30 highest-volume procedure codes billed in Colorado, Drugs (Administered) leads with 11.7M services (48% of this top-volume slice) across 13 codes. Next is Medicine at 13%.

Submitted charges average $1,553.58 against $268.29 Medicare payment (5.8x billed-to-Medicare). That ratio ranks #20 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #10 of 56.

Volume leaders are not the high-payment codes. Injection, Daptomycin, 1 Mg is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Colorado, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Colorado hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 68 distinct cities appear on 97 listed facilities.

City Hospitals Share of state roster
COLORADO SPRINGS 7 7%
DENVER 7 7%
AURORA 4 4%
GRAND JUNCTION 3 3%
PUEBLO 3 3%
DURANGO 2 2%
ENGLEWOOD 2 2%
FORT COLLINS 2 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Colorado: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (97 here).

Similar average Medicare payment

Nearest states with published averages ($268.29 here).

Hospitals in Colorado

ADVENTHEALTH AVISTA
LOUISVILLE · ★★★★☆
ADVENTHEALTH CASTLE ROCK
CASTLE ROCK · ★★★★☆
AdventHealth Littleton
LITTLETON · ★★★★☆
AdventHealth Parker
PARKER · ★★★★☆
AdventHealth Porter
DENVER · ★★★★☆
ANIMAS SURGICAL HOSPITAL, LLC
DURANGO · -
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
LAJUNA · -
ASPEN VALLEY HOSPITAL
ASPEN · -
BANNER FORT COLLINS MEDICAL CENTER
FORT COLLINS · -
BANNER MCKEE MEDICAL CENTER
LOVELAND · ★★★★☆
BANNER NORTH COLORADO MEDICAL CENTER
GREELEY · ★★★★☆
BOULDER COMMUNITY HEALTH
BOULDER · ★★★★☆
CEDAR SPRINGS HOSPITAL
COLORADO SPRINGS · -
CENTENNIAL PEAKS HOSPITAL
LOUISVILLE · -
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES
COLORADO SPRINGS · ★★★★☆
CENTURA HEALTH-ST ANTHONY HOSPITAL
LAKEWOOD · ★★★★☆
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS
WESTMINSTER · ★★★★☆
CHILDREN'S HOSPITAL COLORADO
AURORA · -
CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS
COLORADO SPRINGS · -
COLORADO MENTAL HEALTH HOSPITAL IN FORT LOGAN
DENVER · -
COLORADO MENTAL HEALTH HOSPITAL IN PUEBLO
PUEBLO · -
COMMUNITY HOSPITAL
GRAND JUNCTION · ★★★★☆
DELTA COUNTY MEMORIAL HOSPITAL
DELTA · ★★★☆☆
DENVER HEALTH & HOSPITAL AUTHORITY
DENVER · ★★★☆☆
DENVER SPRINGS
ENGLEWOOD · -
EAST MORGAN COUNTY HOSPITAL
BRUSH · -
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
MEEKER · -
ESTES PARK MEDICAL CENTER
ESTES PARK · -
Evans ACH (FT Carson)
Fort Carson · -
FAMILY HEALTH WEST HOSPITAL
FRUITA · -

View all 97 hospitals in Colorado →

How Colorado Compares Nationally

Colorado's average Medicare payment is #10 of 56 in this extract. Submitted-over-Medicare markup ranks #20 of 56 (5.8x). Hospital-count peers (nearest CMS roster size to 97): Virginia 95, Washington 100, Nebraska 93, Alabama 102. Payment peers (nearest average Medicare payment to $268.29): Tennessee $263.44, Michigan $261.21, Georgia $260.01, Alaska $257.79.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Colorado, not an out-of-pocket quote.

Related registry pages

Colorado averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Colorado CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.