facebook tracking Extracranial procedures with complications cost in Colorado: 2 hospitals compared (DRG 038)

Extracranial procedures with complications in Colorado

What 2 hospitals in Colorado charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $103,630 Hospital list price billed
Average payment $12,925 Medicare + patient + other payers
Medicare paid $11,474 Average per stay
Volume 26 Medicare hospital stays

Hospitals in Colorado billed an average of $103,630 for extracranial procedures with complications, about 8.0 times the average total payment of $12,925. That payment is 13% below the U.S. average of $14,903.

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 $12,925Billed $103,630

About 12¢ was paid for every $1 hospitals in Colorado billed for this stay.

Colorado hospitals: extracranial procedures with 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 13 $80,264 $12,500 $10,853
Medical Center of the RockiesLoveland 13 $126,997 $13,350 $12,094
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Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in Colorado?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 2 hospitals in Colorado was billed at $103,630 on average, while the average total payment was $12,925, of which Medicare paid $11,474. 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 8.0 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.