Division of Insurance State of Colorado Department of Regulatory Agencies en espanol
Welcome to the Hospital Price Report, a joint project between DORA's Division of Insurance and the Colorado Hospital Association. The following links can help consumers and other purchasers of health care explore both hospital charges and insurer reimbursement data.
This page contains information on the average hospital charges for specific diagnosed procedures compared to the average reimbursement that health carriers will pay on behalf of a policyholder. This does not mean that health carriers are not fully paying for the cost of procedures, but that they have often negotiated lower reimbursement rates for both hospital charges (shown below) and physician’s fees. It should be noted that physician’s fees ARE NOT included in the hospital charge data and ARE included in the reimbursement data.
We encourage anyone using this website who is interested in regional or specific hospital charges to visit the Colorado Hospital Association page through the link below. .
Click this link to go to the Colorado Hospital Price Report Home Page which includes explanations of how to use this data and includes additional data on specific hospitals, procedures, as well as geographic area through a graphical user interface.

For previous years survey results:
Viewing 2016 Hospital Price Report
Reimbursement SummaryReimbursement by CompanyReimbursement by Group Code
The blue text shows the number of discharges reported to the Colorado Hospital Association and average hospital charge. The average hospital charge is the average of all bills that a hospital presented for a specific service, whether covered by insurance or not, but does not represent either the amount actually paid to hospitals for their services or the bills incurred by physicians working at those hospitals. It simply represents the average amount charged for that specific service by that hospital.
The green text shows the number of procedures and average total reimbursements paid by heath carriers regulated by the Division of Insurance. Reimbursements are the average amount a health carrier paid in total, which includes the amount paid by the insured individual. To be included in this data set, a health carrier has to have paid for 10 or more of the same procedures in a year.
Medicare Severity Diagnostic Related Group CodeMedicare Severity Diagnostic Related Group DescriptionColorado Hospital Association Number of Hospital Discharges with these codesColorado Hospital Association Average Hospital ChargeAverage Company Reimbursement on behalf of policyholderNumber of Hospital Reimbursements paid under these codes
190Chronic obstructive pulmonary disease with major complications2,469$38,920$8,77672
191Chronic obstructive pulmonary disease with complications1,126$31,830$13,29344
192Chronic obstructive pulmonary disease without complications/major complications611$22,822$8,40728
193Simple pneumonia and pleurisy with major complications3,859$43,973$18,783253
194Simple pneumonia and pleurisy with complications3,274$26,920$11,662277
195Simple pneumonia and pleurisy without complications/major complications1,895$18,644$8,712210
202Bronchitis and asthma with complications/major complications2,207$30,038$15,062189
203Bronchitis and asthma without complications/major complications3,287$17,873$10,127568
246Percutaneous cardiovascular procedure with drug-eluting stent with major complications or 4+ vessels/stents1,207$145,686$50,34298
247Percutaneous cardiovascular procedure with drug-eluting stent without major complications3,586$101,599$42,424683
286Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization with major complications784$100,914$26,94557
287Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization without major complications1,695$57,165$23,569161
291Heart failure and shock with major complications4,536$51,996$14,812166
292Heart failure and shock with complications2,792$36,154$9,015127
293Heart failure and shock without complications/major complications 844$26,329$5,48446
312Syncope and collapse1,279$35,275$6,51569
313Chest pain1,236$30,262$2,999117
391Esophagitis, gastroenteritis & miscellaneous digestive disorders with major complications1,191$47,434$16,57593
392Esophagitis, gastroenteritis & miscellaneous digestive disorders without major complications6,635$30,699$9,6821,108
459Spinal fusion except cervical with major complications400$250,941$66,35835
460Spinal fusion except cervical without major complications5,181$168,775$68,036803
469Major joint replacement or reattachment of lower extremity with major complications825$116,808$24,87057
470Major joint replacement or reattachment of lower extremity without major complications23,652$77,028$27,5204,589
551Medical back problems with major complications424$65,483$12,32024
552Medical back problems without major complications2,208$39,461$2,764841
602Cellulitis with major complications543$46,875$12,83727
603Cellulitis without major complications3,908$27,150$10,780431
640Nutritional & miscellaneous metabolic disorders with major complications3,945$26,604$16,316104
641Nutritional & miscellaneous metabolic disorders without major complications3,042$29,167$12,177279
689Kidney & urinary tract infections with major complications1,076$40,766$8,88760
690Kidney & urinary tract infections without major complications2,990$27,109$8,252201
742Uterine & adnexa procedure for non-malignancy with complications/major complications665$68,660$27,109111
743Uterine & adnexa procedure for non-malignancy without complications/major complications1,461$47,641$17,122299
765Cesarean section with complications/major complications7,722$36,930$16,9042,052
766Cesarean section without complications/major complications9,406$26,176$12,7062,813
767Vaginal delivery with sterilization &/or dilation & curettage1,898$24,074$11,504295
768Vaginal delivery with operating room procedure except sterilization &/or dilation & curettage155$25,816$10,84012
774Vaginal delivery with complicating diagnoses6,538$20,181$8,9241,524
775Vaginal delivery without complicating diagnoses36,881$15,289$7,37710,107
781Other antepartum diagnoses with medical complications1,958$22,686$10,992226
782Other antepartum diagnoses without medical complications515$15,431$7,10390
789Neonates, died or transferred to another acute care facility729$120,830$21,33175
790Extreme immaturity or respiratory distress syndrome, neonate1,464$338,631$139,285244
791Prematurity with major problems1,849$133,740$58,799357
792Prematurity without major problems2,555$47,603$22,811625
793Full term neonate with major problems3,733$50,828$22,303951
794Neonate with other significant problems13,238$8,866$4,9433,449
795Normal newborn31,553$5,043$2,5079,290
870Septicemia or severe sepsis with mechanical ventilation 96+ hours609$277,931$97,58831
871Septicemia or severe sepsis without mechanical ventilation 96+ hours with major complications14,588$66,046$23,0321,306
872Septicemia or severe sepsis without mechanical ventilation 96+ hours without major complications6,471$38,044$14,960792
896Alcohol/drug abuse or dependence without rehabilitation therapy with major complications1,397$62,973$43,32952
897Alcohol/drug abuse or dependence without rehabilitation therapy without major complications5,409$25,966$9,173604
917Poisoning & toxic effects of drugs with major complications2,388$55,341$22,493180
918Poisoning & toxic effects of drugs without major complications 2,262$26,356$13,777202
945Rehabilitation with complications/major complications392$73,194$20,97438
946Rehabilitation without complications/major complications57$67,216$00

  * Please note:
   Only procedures for health carriers regulated by the state of Colorado that paid for more than 10 procedures falling under a specific code are included for comparison.
Consumer Protection