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Stomach, esophageal and duodenal procedures with complications in Colorado

What 2 hospitals in Colorado charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327), from 2024 Medicare claims.

DRG 327 Inpatient 2024 Medicare data
Average charge $168,351 Hospital list price billed
Average payment $25,495 Medicare + patient + other payers
Medicare paid $19,462 Average per stay
Volume 55 Medicare hospital stays

Hospitals in Colorado billed an average of $168,351 for stomach, esophageal and duodenal procedures with complications, about 6.6 times the average total payment of $25,495. That payment is 6% below the U.S. average of $27,210.

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 $25,495Billed $168,351

About 15¢ was paid for every $1 hospitals in Colorado billed for this stay.

Colorado hospitals: stomach, esophageal and duodenal procedures 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
University of Colorado Hospital Anschutz InpatientAurora 36 $201,049 $27,972 $21,206
Memorial Hospital CentralColorado Springs 19 $106,397 $20,800 $16,157
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Stomach, esophageal and duodenal procedures with complications in other states

Questions

How much does stomach, esophageal and duodenal procedures with complications cost in Colorado?

In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327) at 2 hospitals in Colorado was billed at $168,351 on average, while the average total payment was $25,495, of which Medicare paid $19,462. 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 6.6 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.