Simple pneumonia and pleurisy with complications in Colorado
What 9 hospitals in Colorado charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$54,759
Hospital list price billed
Average payment
$7,068
Medicare + patient + other payers
Medicare paid
$5,422
Average per stay
State rank
#14 of 47
1 = lowest average payment
Hospitals in Colorado billed an average of $54,759 for simple pneumonia and pleurisy with complications, about 7.7 times the average total payment of $7,068. That payment is 11% below the U.S. average of $7,941.
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 $7,068Billed $54,759
About 13¢ was paid for every $1 hospitals in Colorado billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Colorado:
Colorado hospitals: simple pneumonia and pleurisy 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 | 50 | $48,852 | $6,631 | $5,206 |
| Poudre Valley HospitalFort Collins | 31 | $38,709 | $6,924 | $5,283 |
| University of Colorado Hospital Anschutz InpatientAurora | 25 | $69,099 | $9,879 | $7,242 |
| Longs Peak HospitalLongmont | 18 | $41,840 | $6,446 | $5,177 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 15 | $50,433 | $5,886 | $4,254 |
| Centura Health-St Anthony Central HospitalDenver | 13 | $55,943 | $6,302 | $4,889 |
| Medical Center of the RockiesLoveland | 13 | $31,297 | $6,168 | $5,038 |
| Boulder Community HospitalBoulder | 11 | $50,229 | $6,408 | $4,870 |
| Sky Ridge Medical CenterLone Tree | 11 | $152,151 | $8,324 | $6,282 |
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
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $5,886 |
|---|---|
| Medical Center of the RockiesLoveland, CO | $6,168 |
| Centura Health-St Anthony Central HospitalDenver, CO | $6,302 |
| Boulder Community HospitalBoulder, CO | $6,408 |
| Longs Peak HospitalLongmont, CO | $6,446 |
Highest
| University of Colorado Hospital Anschutz InpatientAurora, CO | $9,879 |
|---|---|
| Sky Ridge Medical CenterLone Tree, CO | $8,324 |
| Poudre Valley HospitalFort Collins, CO | $6,924 |
| Memorial Hospital CentralColorado Springs, CO | $6,631 |
| Longs Peak HospitalLongmont, CO | $6,446 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Colorado?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 9 hospitals in Colorado was billed at $54,759 on average, while the average total payment was $7,068, of which Medicare paid $5,422. 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 7.7 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.