facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Colorado: 8 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Colorado

What 8 hospitals in Colorado charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $462,112 Hospital list price billed
Average payment $68,504 Medicare + patient + other payers
Medicare paid $65,068 Average per stay
State rank #10 of 37 1 = lowest average payment

Hospitals in Colorado billed an average of $462,112 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 6.7 times the average total payment of $68,504. That payment is 18% below the U.S. average of $83,705.

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 $68,504Billed $462,112

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

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Colorado:

Colorado hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

Every Colorado hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University of Colorado Hospital Anschutz InpatientAurora 58 $528,968 $79,829 $74,551
Boulder Community HospitalBoulder 31 $436,560 $61,414 $54,581
Memorial Hospital CentralColorado Springs 27 $473,926 $62,463 $61,001
Medical Center of the RockiesLoveland 22 $462,406 $68,332 $66,849
Centura Health-St Anthony Central HospitalDenver 18 $551,630 $72,060 $70,578
Centura Health-Penrose St Francis Health ServicesColorado Springs 16 $346,964 $57,785 $56,166
Centura Health-Littleton Adventist HospitalLittleton 16 $316,978 $54,309 $52,881
St Mary's Hospital and Medical CenterGrand Junction 13 $396,133 $73,463 $71,521
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Lowest and highest payments in Colorado

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Colorado?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 8 hospitals in Colorado was billed at $462,112 on average, while the average total payment was $68,504, of which Medicare paid $65,068. 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 stay in Colorado, average charges were 6.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.