facebook tracking Major chest procedures without complications cost in Colorado: 3 hospitals compared (DRG 165)

Major chest procedures without complications in Colorado

What 3 hospitals in Colorado charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.

DRG 165 Inpatient 2024 Medicare data
Average charge $82,947 Hospital list price billed
Average payment $17,558 Medicare + patient + other payers
Medicare paid $13,581 Average per stay
State rank #8 of 26 1 = lowest average payment

Hospitals in Colorado billed an average of $82,947 for major chest procedures without complications, about 4.7 times the average total payment of $17,558. That payment is 10% below the U.S. average of $19,593.

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 $17,558Billed $82,947

About 21¢ was paid for every $1 hospitals in Colorado billed for this stay.

Colorado hospitals: major chest procedures without 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
University of Colorado Hospital Anschutz InpatientAurora 21 $97,187 $18,779 $16,574
Memorial Hospital CentralColorado Springs 16 $81,232 $17,471 $11,216
Centura Health-Penrose St Francis Health ServicesColorado Springs 13 $62,056 $15,694 $11,656
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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.

Major chest procedures without complications in other states

Questions

How much does major chest procedures without complications cost in Colorado?

In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 3 hospitals in Colorado was billed at $82,947 on average, while the average total payment was $17,558, of which Medicare paid $13,581. 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 4.7 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.