facebook tracking Interstitial lung disease with major complications cost in Colorado: 4 hospitals compared (DRG 196)

Interstitial lung disease with major complications in Colorado

What 4 hospitals in Colorado charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.

DRG 196 Inpatient 2024 Medicare data
Average charge $104,778 Hospital list price billed
Average payment $18,126 Medicare + patient + other payers
Medicare paid $15,169 Average per stay
State rank #12 of 29 1 = lowest average payment

Hospitals in Colorado billed an average of $104,778 for interstitial lung disease with major complications, about 5.8 times the average total payment of $18,126. That payment is 14% below the U.S. average of $21,088.

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 $18,126Billed $104,778

About 17¢ was paid for every $1 hospitals in Colorado billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Colorado:

Colorado hospitals: interstitial lung disease 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
Exempla Saint Joseph HospitalDenver 20 $98,910 $19,969 $16,121
University of Colorado Hospital Anschutz InpatientAurora 15 $142,007 $21,343 $16,888
Memorial Hospital CentralColorado Springs 13 $82,354 $14,600 $13,933
Parkview Medical Center INCPueblo 11 $91,182 $14,553 $12,553
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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.

Interstitial lung disease with major complications in other states

Questions

How much does interstitial lung disease with major complications cost in Colorado?

In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 4 hospitals in Colorado was billed at $104,778 on average, while the average total payment was $18,126, of which Medicare paid $15,169. 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 5.8 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.