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 navigate between the hospital charges and reimbursement data. We encourage anyone using this website to begin at the Colorado Hospital Price Report home page listed below.

Click this link to go to the Colorado Hospital Price Report Home Page which includes explanations of how to use this data and additional information.

Click this link to go to the Colorado Hospital Search Page, for information on hospital charge rates, including options to refine search by region or limit search to one or more specific hospitals.


For previous years survey results:
 
Viewing 2015 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. Average Hospital Charge is the average of all bills that a hospital presented for service, whether covered by insurance or not.
The green text shows the number of procedures and average reimbursements paid by heath carriers regulated by the Division of Insurance. Reimbursements are the average amount a health carrier paid. These numbers include only care covered where a company had 10 or more reported 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 complications2,312$36,870$10,190207
191Chronic obstructive pulmonary disease with complications1,512$30,140$6,555116
192Chronic obstructive pulmonary disease without complications/major complications939$22,123$5,66150
193Simple pneumonia and pleurisy with major complications3,725$43,769$16,887404
194Simple pneumonia and pleurisy with complications4,028$27,256$10,095549
195Simple pneumonia and pleurisy without complications/major complications2,224$17,750$8,733352
202Bronchitis and asthma with complications/major complications2,892$28,646$14,721414
203Bronchitis and asthma without complications/major complications3,516$16,813$10,424519
246Percutaneous cardiovascular procedure with drug-eluting stent with major complications or 4+ vessels/stents1,013$140,876$47,086192
247Percutaneous cardiovascular procedure with drug-eluting stent without major complications3,502$99,325$34,732742
286Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization with major complications664$97,986$26,77688
287Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization without major complications1,746$54,527$15,868249
291Heart failure and shock with major complications3,371$51,545$9,896297
292Heart failure and shock with complications3,024$33,730$10,128263
293Heart failure and shock without complications/major complications 926$24,496$4,59472
312Syncope and collapse1,448$31,408$7,055164
313Chest pain1,391$27,682$5,86976
391Esophagitis, gastroenteritis & miscellaneous digestive disorders with major complications1,406$44,984$18,076154
392Esophagitis, gastroenteritis & miscellaneous digestive disorders without major complications6,894$28,319$10,3081,057
459Spinal fusion except cervical with major complications381$261,895$75,74436
460Spinal fusion except cervical without major complications5,264$163,401$57,680980
469Major joint replacement or reattachment of lower extremity with major complications779$111,566$18,43995
470Major joint replacement or reattachment of lower extremity without major complications21,934$75,489$25,2674,792
551Medical back problems with major complications414$59,106$13,66221
552Medical back problems without major complications2,098$35,394$12,379254
602Cellulitis with major complications525$49,199$22,55935
603Cellulitis without major complications3,852$25,405$9,524526
640Nutritional & miscellaneous metabolic disorders with major complications3,861$23,639$12,27491
641Nutritional & miscellaneous metabolic disorders without major complications3,308$26,165$9,739407
689Kidney & urinary tract infections with major complications1,184$37,830$7,14194
690Kidney & urinary tract infections without major complications3,157$25,332$7,798344
742Uterine & adnexa procedure for non-malignancy with complications/major complications708$63,404$19,146151
743Uterine & adnexa procedure for non-malignancy without complications/major complications1,652$44,083$14,886378
765Cesarean section with complications/major complications7,505$34,170$15,6721,969
766Cesarean section without complications/major complications9,537$24,544$12,9382,953
767Vaginal delivery with sterilization &/or dilation & curettage1,686$24,628$10,648318
768Vaginal delivery with operating room procedure except sterilization &/or dilation & curettage67$29,824$00
774Vaginal delivery with complicating diagnoses7,235$18,868$8,5651,715
775Vaginal delivery without complicating diagnoses36,616$14,335$7,1149,745
781Other antepartum diagnoses with medical complications1,961$23,216$10,233277
782Other antepartum diagnoses without medical complications455$14,902$9,35198
789Neonates, died or transferred to another acute care facility845$76,377$31,061131
790Extreme immaturity or respiratory distress syndrome, neonate1,584$325,305$134,837317
791Prematurity with major problems1,485$130,386$60,801301
792Prematurity without major problems2,911$43,262$24,728646
793Full term neonate with major problems3,362$46,317$22,308709
794Neonate with other significant problems12,529$8,349$4,7133,431
795Normal newborn35,053$4,586$2,3589,235
870Septicemia or severe sepsis with mechanical ventilation 96+ hours630$255,688$95,22763
871Septicemia or severe sepsis without mechanical ventilation 96+ hours with major complications13,138$64,640$20,3371,471
872Septicemia or severe sepsis without mechanical ventilation 96+ hours without major complications5,845$36,589$14,124840
885Psychoses10,414$27,042$7,302883
896Alcohol/drug abuse or dependence without rehabilitation therapy with major complications1,333$59,331$26,45896
897Alcohol/drug abuse or dependence without rehabilitation therapy without major complications4,757$23,002$9,724390
917Poisoning & toxic effects of drugs with major complications2,299$53,843$21,993277
918Poisoning & toxic effects of drugs without major complications 2,110$23,790$12,775235
945Rehabilitation with complications/major complications4,005$64,935$34,554475
946Rehabilitation without complications/major complications844$42,064$7,557215

         
 
  * Please note:
   Only procedures for insurance companies regulated by the state of Colorado that paid for more than 10 of a specific code are included for comparison against all procedures reported by hospitals.
 
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