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 2013 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 complications2,006$35,935$8,796137
191Chronic obstructive pulmonary disease with complications1,780$28,881$9,00878
192Chronic obstructive pulmonary disease without complications/major complications1,256$21,806$7,992194
193Simple pneumonia and pleurisy with major complications3,345$41,277$14,412176
194Simple pneumonia and pleurisy with complications4,365$27,084$10,575261
195Simple pneumonia and pleurisy without complications/major complications2,701$18,231$9,443638
202Bronchitis and asthma with complications/major complications2,388$25,704$14,037153
203Bronchitis and asthma without complications/major complications4,233$15,401$9,965779
246Percutaneous cardiovascular procedure with drug-eluting stent with major complications or 4+ vessels/stents804$126,063$44,49562
247Percutaneous cardiovascular procedure with drug-eluting stent without major complications3,436$87,296$36,016701
286Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization with major complications535$81,958$27,81730
287Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization without major complications1,951$43,544$15,203293
291Heart failure and shock with major complications2,584$43,966$10,61796
292Heart failure and shock with complications2,843$31,069$8,215137
293Heart failure and shock without complications/major complications 996$20,911$11,493156
312Syncope and collapse1,594$26,576$7,045178
313Chest pain2,072$22,029$6,897179
391Esophagitis, gastroenteritis & miscellaneous digestive disorders with major complications1,406$40,115$16,54376
392Esophagitis, gastroenteritis & miscellaneous digestive disorders without major complications7,517$25,688$10,6261,143
459Spinal fusion except cervical with major complications281$250,747$00
460Spinal fusion except cervical without major complications4,625$149,928$61,525817
469Major joint replacement or reattachment of lower extremity with major complications728$104,989$25,23140
470Major joint replacement or reattachment of lower extremity without major complications19,349$71,496$26,4443,939
551Medical back problems with major complications350$58,275$00
552Medical back problems without major complications2,173$30,992$11,758239
602Cellulitis with major complications468$44,535$00
603Cellulitis without major complications3,790$23,495$9,138484
640Nutritional & miscellaneous metabolic disorders with major complications1,439$35,556$10,19350
641Nutritional & miscellaneous metabolic disorders without major complications3,503$23,636$10,052437
689Kidney & urinary tract infections with major complications1,006$35,208$00
690Kidney & urinary tract infections without major complications3,435$22,816$7,928362
742Uterine & adnexa procedure for non-malignancy with complications/major complications808$59,167$15,565102
743Uterine & adnexa procedure for non-malignancy without complications/major complications1,977$39,590$35821,794
765Cesarean section with complications/major complications7,263$31,077$13,2131,110
766Cesarean section without complications/major complications9,563$21,483$13,0393,469
767Vaginal delivery with sterilization &/or dilation & curettage1,551$21,827$9,380268
768Vaginal delivery with operating room procedure except sterilization &/or dilation & curettage48$25,961$00
774Vaginal delivery with complicating diagnoses6,780$16,392$7,4751,091
775Vaginal delivery without complicating diagnoses35,633$12,443$6,5129,552
781Other antepartum diagnoses with medical complications2,064$21,115$7,776274
782Other antepartum diagnoses without medical complications527$12,561$7,574169
789Neonates, died or transferred to another acute care facility1,124$58,455$23,777165
790Extreme immaturity or respiratory distress syndrome, neonate1,371$324,161$106,074139
791Prematurity with major problems1,355$142,559$55,586104
792Prematurity without major problems3,173$35,525$21,874442
793Full term neonate with major problems2,797$38,840$20,910375
794Neonate with other significant problems10,467$7,835$13,3132,006
795Normal newborn37,018$4,162$4,08210,537
870Septicemia or severe sepsis with mechanical ventilation 96+ hours561$229,979$111,90037
871Septicemia or severe sepsis without mechanical ventilation 96+ hours with major complications9,169$58,636$20,811526
872Septicemia or severe sepsis without mechanical ventilation 96+ hours without major complications3,957$33,129$16,132779
885Psychoses10,372$22,232$13,4681,023
896Alcohol/drug abuse or dependence without rehabilitation therapy with major complications996$54,578$14,55123
897Alcohol/drug abuse or dependence without rehabilitation therapy without major complications4,374$19,350$9,419535
917Poisoning & toxic effects of drugs with major complications1,964$47,875$22,653126
918Poisoning & toxic effects of drugs without major complications 2,351$20,769$12,896340
945Rehabilitation with complications/major complications4,630$61,884$30,512157
946Rehabilitation without complications/major complications1,204$37,411$23,226178

         
 
  * 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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