facebook tracking Other digestive system diagnoses with complications cost in Colorado: 9 hospitals compared (DRG 394)

Other digestive system diagnoses with complications in Colorado

What 9 hospitals in Colorado charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.

DRG 394 Inpatient 2024 Medicare data
Average charge $71,523 Hospital list price billed
Average payment $8,645 Medicare + patient + other payers
Medicare paid $6,853 Average per stay
State rank #20 of 46 1 = lowest average payment

Hospitals in Colorado billed an average of $71,523 for other digestive system diagnoses with complications, about 8.3 times the average total payment of $8,645. That payment is 9% below the U.S. average of $9,547.

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 $8,645Billed $71,523

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

Colorado hospitals: other digestive system diagnoses 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 33 $55,830 $8,053 $6,399
University of Colorado Hospital Anschutz InpatientAurora 31 $59,299 $11,248 $8,293
Sky Ridge Medical CenterLone Tree 21 $102,687 $8,448 $6,742
Swedish Medical CenterEnglewood 18 $101,919 $8,783 $6,302
Centura Health-Penrose St Francis Health ServicesColorado Springs 16 $61,517 $7,439 $6,680
Centura Health-St Anthony Central HospitalDenver 15 $50,054 $7,700 $6,540
Medical Center of Aurora, theAurora 13 $96,735 $8,392 $6,969
Parkview Medical Center INCPueblo 12 $62,298 $8,032 $6,587
Boulder Community HospitalBoulder 11 $67,909 $7,243 $6,097
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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.

Highest

Other digestive system diagnoses with complications in other states

Questions

How much does other digestive system diagnoses with complications cost in Colorado?

In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 9 hospitals in Colorado was billed at $71,523 on average, while the average total payment was $8,645, of which Medicare paid $6,853. 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 8.3 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.