Extensive operating room procedures unrelated to principal diagnosis with major complications in Colorado
What 6 hospitals in Colorado charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$275,434
Hospital list price billed
Average payment
$40,903
Medicare + patient + other payers
Medicare paid
$38,399
Average per stay
State rank
#16 of 42
1 = lowest average payment
Hospitals in Colorado billed an average of $275,434 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 6.7 times the average total payment of $40,903. That payment is 13% below the U.S. average of $47,051.
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 $40,903Billed $275,434
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: extensive operating room procedures unrelated to principal diagnosis with major complications
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 |
|---|---|---|---|---|
| Memorial Hospital CentralColorado Springs | 18 | $250,869 | $33,760 | $32,859 |
| University of Colorado Hospital Anschutz InpatientAurora | 14 | $504,053 | $66,871 | $58,303 |
| Exempla Lutheran Medical CenterWheat Ridge | 13 | $238,248 | $36,803 | $35,609 |
| St Mary's Hospital and Medical CenterGrand Junction | 13 | $230,908 | $45,277 | $43,739 |
| Centura Health-St Anthony Central HospitalDenver | 12 | $198,843 | $33,641 | $31,744 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 12 | $210,674 | $28,286 | $27,380 |
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.
Lowest
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $28,286 |
|---|---|
| Centura Health-St Anthony Central HospitalDenver, CO | $33,641 |
| Memorial Hospital CentralColorado Springs, CO | $33,760 |
| Exempla Lutheran Medical CenterWheat Ridge, CO | $36,803 |
| St Mary's Hospital and Medical CenterGrand Junction, CO | $45,277 |
Highest
| University of Colorado Hospital Anschutz InpatientAurora, CO | $66,871 |
|---|---|
| St Mary's Hospital and Medical CenterGrand Junction, CO | $45,277 |
| Exempla Lutheran Medical CenterWheat Ridge, CO | $36,803 |
| Memorial Hospital CentralColorado Springs, CO | $33,760 |
| Centura Health-St Anthony Central HospitalDenver, CO | $33,641 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Colorado?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 6 hospitals in Colorado was billed at $275,434 on average, while the average total payment was $40,903, of which Medicare paid $38,399. 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.