Pneumonia, with complications in Colorado
MS-DRG 194: Simple pneumonia and pleurisy with cc
$50,229typical hospital bill
$6,446typical amount paid
$5,886–$9,879range paid across 9 hospitals
Colorado hospitals billed Medicare a typical $50,229 for this stay in 2024, about 7.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Uchealth Highlands Ranch Hospital | Highlands Ranch | 15 | $50,433 | $5,886 | |
| Medical Center of the Rockies | Loveland | 13 | $31,297 | $6,168 | |
| Centura Health-St Anthony Hospital | Lakewood | 13 | $55,943 | $6,302 | |
| Boulder Community Health | Boulder | 11 | $50,229 | $6,408 | |
| Longs Peak Hospital | Longmont | 18 | $41,840 | $6,446 | |
| Uch-Memorial Health System | Colorado Springs | 50 | $48,852 | $6,631 | |
| Poudre Valley Hospital | Fort Collins | 31 | $38,709 | $6,924 | |
| Sky Ridge Medical Center | Lone Tree | 11 | $152,151 | $8,324 | |
| University of Colorado Hospital Authority | Aurora | 25 | $69,099 | $9,879 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.