facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Colorado: 22 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Colorado

What 22 hospitals in Colorado charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $71,751 Hospital list price billed
Average payment $12,342 Medicare + patient + other payers
Medicare paid $9,842 Average per stay
State rank #20 of 48 1 = lowest average payment

Hospitals in Colorado billed an average of $71,751 for pulmonary embolism with major complications or acute cor pulmonale, about 5.8 times the average total payment of $12,342. That payment is 8% below the U.S. average of $13,466.

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 $12,342Billed $71,751

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: pulmonary embolism with major complications or acute cor pulmonale

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
Centura Health-Penrose St Francis Health ServicesColorado Springs 55 $65,077 $10,683 $9,015
Memorial Hospital CentralColorado Springs 50 $57,979 $11,213 $9,380
Parkview Medical Center INCPueblo 32 $68,088 $11,947 $9,939
University of Colorado Hospital Anschutz InpatientAurora 31 $96,304 $15,497 $12,470
St Mary's Hospital and Medical CenterGrand Junction 29 $66,707 $17,077 $12,159
Centura Health-St Anthony Central HospitalDenver 27 $66,838 $12,342 $8,329
Parker Adventist HospitalParker 26 $67,003 $10,780 $8,929
Boulder Community HospitalBoulder 25 $74,629 $10,340 $8,724
Poudre Valley HospitalFort Collins 20 $58,098 $12,812 $9,030
Centura Health-St Anthony North HospitalWestminster 17 $56,392 $15,382 $8,891
Exempla Lutheran Medical CenterWheat Ridge 15 $70,263 $10,451 $9,129
Denver Health Medical CenterDenver 15 $59,317 $20,454 $18,244
Centura Health-Littleton Adventist HospitalLittleton 15 $62,024 $10,910 $8,780
Mercy Medical CenterDurango 14 $46,706 $14,694 $10,637
Medical Center of Aurora, theAurora 14 $144,135 $11,728 $9,676
Adventhealth Castle RockCastle Rock 14 $64,600 $10,441 $8,925
Swedish Medical CenterEnglewood 13 $137,189 $11,524 $10,107
Centura Health-Porter Adventist HospitalDenver 13 $63,751 $11,847 $8,253
Medical Center of the RockiesLoveland 13 $63,037 $10,226 $9,222
Sky Ridge Medical CenterLone Tree 12 $99,933 $10,340 $8,687
Exempla Good Samaritan Medical Center LLCLafayette 12 $71,446 $10,215 $9,263
Longs Peak HospitalLongmont 11 $80,874 $10,473 $9,138
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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.

Lowest

Exempla Good Samaritan Medical Center LLCLafayette, CO$10,215
Medical Center of the RockiesLoveland, CO$10,226
Sky Ridge Medical CenterLone Tree, CO$10,340
Boulder Community HospitalBoulder, CO$10,340
Adventhealth Castle RockCastle Rock, CO$10,441

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Colorado?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 22 hospitals in Colorado was billed at $71,751 on average, while the average total payment was $12,342, of which Medicare paid $9,842. 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.