Simple pneumonia and pleurisy with major complications in Colorado
What 38 hospitals in Colorado charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$69,602
Hospital list price billed
Average payment
$11,366
Medicare + patient + other payers
Medicare paid
$9,288
Average per stay
State rank
#25 of 50
1 = lowest average payment
Hospitals in Colorado billed an average of $69,602 for simple pneumonia and pleurisy with major complications, about 6.1 times the average total payment of $11,366. That payment is 5% below the U.S. average of $12,020.
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 $11,366Billed $69,602
About 16¢ 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 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 |
|---|---|---|---|---|
| Memorial Hospital CentralColorado Springs | 132 | $72,774 | $10,478 | $8,312 |
| University of Colorado Hospital Anschutz InpatientAurora | 108 | $89,953 | $14,835 | $11,579 |
| Poudre Valley HospitalFort Collins | 77 | $50,284 | $11,203 | $8,892 |
| Parkview Medical Center INCPueblo | 62 | $58,003 | $10,734 | $8,972 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 59 | $58,557 | $10,218 | $8,208 |
| Medical Center of the RockiesLoveland | 54 | $44,762 | $9,643 | $8,284 |
| Boulder Community HospitalBoulder | 53 | $72,083 | $10,051 | $8,159 |
| Swedish Medical CenterEnglewood | 50 | $131,037 | $10,826 | $9,006 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 49 | $66,886 | $10,076 | $7,969 |
| St Mary's Hospital and Medical CenterGrand Junction | 47 | $44,901 | $12,369 | $9,665 |
| Medical Center of Aurora, theAurora | 44 | $109,328 | $11,904 | $9,518 |
| Centura Health-Littleton Adventist HospitalLittleton | 42 | $65,700 | $10,067 | $7,898 |
| Parker Adventist HospitalParker | 41 | $70,011 | $10,273 | $8,638 |
| Uchealth Greeley HospitalGreeley | 41 | $38,464 | $9,568 | $8,375 |
| Centura Health-St Anthony Central HospitalDenver | 40 | $69,562 | $10,638 | $8,885 |
| Exempla Lutheran Medical CenterWheat Ridge | 39 | $66,541 | $11,011 | $8,940 |
| Centura Health-St Anthony North HospitalWestminster | 38 | $66,456 | $12,134 | $10,351 |
| Rose Medical CenterDenver | 37 | $114,700 | $10,634 | $8,677 |
| Sky Ridge Medical CenterLone Tree | 37 | $117,555 | $12,015 | $8,846 |
| Adventhealth Castle RockCastle Rock | 36 | $52,083 | $10,233 | $8,097 |
| HCA Healthone Mountain RidgeThornton | 35 | $114,652 | $11,822 | $10,206 |
| Mercy Medical CenterDurango | 28 | $44,262 | $12,805 | $11,348 |
| Longs Peak HospitalLongmont | 28 | $78,627 | $10,109 | $8,536 |
| North Colorado Medical CenterGreeley | 27 | $30,044 | $11,911 | $9,990 |
| Exempla Saint Joseph HospitalDenver | 24 | $67,372 | $13,383 | $11,181 |
| Exempla Good Samaritan Medical Center LLCLafayette | 21 | $70,402 | $10,335 | $7,567 |
| Centura Health-Porter Adventist HospitalDenver | 19 | $67,141 | $11,355 | $8,871 |
| Delta County Memorial HospitalDelta | 19 | $38,458 | $9,378 | $7,919 |
| Montrose Memorial HospitalMontrose | 17 | $37,092 | $10,364 | $9,116 |
| Banner North Co Medical Center - Loveland CampusLoveland | 17 | $33,491 | $10,849 | $9,409 |
| Community HospitalGrand Junction | 17 | $58,072 | $10,262 | $8,727 |
| Vail Valley Medical CenterVail | 16 | $41,277 | $22,209 | $20,985 |
| Valley View Hospital AssociationGlenwood Springs | 15 | $47,250 | $13,131 | $11,716 |
| Platte Valley Medical CenterBrighton | 13 | $53,822 | $13,253 | $7,841 |
| Longmont United HospitalLongmont | 12 | $56,347 | $10,784 | $8,630 |
| Denver Health Medical CenterDenver | 12 | $35,199 | $19,327 | $17,862 |
| Presbyterian/St Luke's Medical CenterDenver | 12 | $119,083 | $11,171 | $10,128 |
| Uchealth Grandview HospitalColorado Springs | 11 | $45,576 | $9,978 | $8,494 |
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
| Delta County Memorial HospitalDelta, CO | $9,378 |
|---|---|
| Uchealth Greeley HospitalGreeley, CO | $9,568 |
| Medical Center of the RockiesLoveland, CO | $9,643 |
| Uchealth Grandview HospitalColorado Springs, CO | $9,978 |
| Boulder Community HospitalBoulder, CO | $10,051 |
Highest
| Vail Valley Medical CenterVail, CO | $22,209 |
|---|---|
| Denver Health Medical CenterDenver, CO | $19,327 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $14,835 |
| Exempla Saint Joseph HospitalDenver, CO | $13,383 |
| Platte Valley Medical CenterBrighton, CO | $13,253 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Colorado?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 38 hospitals in Colorado was billed at $69,602 on average, while the average total payment was $11,366, of which Medicare paid $9,288. 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 6.1 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.