Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Colorado
What 2 hospitals in Colorado charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$1,247,173
Hospital list price billed
Average payment
$120,015
Medicare + patient + other payers
Medicare paid
$113,282
Average per stay
Volume
28
Medicare hospital stays
Hospitals in Colorado billed an average of $1,247,173 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 10.4 times the average total payment of $120,015. That payment is 14% below the U.S. average of $139,119.
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 $120,015Billed $1,247,173
About 10¢ was paid for every $1 hospitals in Colorado billed for this stay.
Colorado hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 |
|---|---|---|---|---|
| Swedish Medical CenterEnglewood | 15 | $1,693,968 | $115,291 | $112,072 |
| University of Colorado Hospital Anschutz InpatientAurora | 13 | $731,641 | $125,466 | $114,679 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Colorado?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 2 hospitals in Colorado was billed at $1,247,173 on average, while the average total payment was $120,015, of which Medicare paid $113,282. 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 10.4 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.