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Viewing 2010 Hospital Price Report
The blue hospital charges are the average of all bills that a hospital presented for service, whether covered by insurance or not. The green reimbursement rates are the average amount an insurance company or health maintenance organization paid, and includes only care covered by their policies where a company had 10 or more reported procedures in a year.
Medicare Severity Diagnostic Related Group Code Medicare Severity Diagnostic Related Group Description Colorado Hospital Association Number of Hospital Discharges with these codes Colorado Hospital Association Average Hospital Charge Average Company Reimbursement on behalf of policyholder Number of Hospital Reimbursements paid under these codes
190 Chronic obstructive pulmonary disease with major complications 2,282 $29,377 $8,597 105
191 Chronic obstructive pulmonary disease with complications 2,033 $23,992 $9,577 111
192 Chronic obstructive pulmonary disease without complications/major complications 1,905 $17,529 $6,261 84
193 Simple pneumonia and pleurisy with major complications 2,860 $35,495 $14,014 183
194 Simple pneumonia and pleurisy with complications 5,259 $22,700 $9,429 555
195 Simple pneumonia and pleurisy without complications/major complications 3,547 $14,771 $7,427 402
202 Bronchitis and asthma with complications/major complications 2,209 $20,205 $9,435 267
203 Bronchitis and asthma without complications/major complications 5,042 $11,725 $6,703 678
246 Percutaneous cardiovascular procedure with drug-eluting stent with major complications or 4+ vessels/stents 707 $111,349 $43,524 102
247 Percutaneous cardiovascular procedure with drug-eluting stent without major complications 3,296 $73,585 $31,621 535
286 Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization with major complications 549 $66,325 $13,250 32
287 Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization without major complications 2,614 $32,734 $14,027 382
291 Heart failure and shock with major complications 2,646 $37,130 $11,238 93
292 Heart failure and shock with complications 2,688 $24,934 $8,566 123
293 Heart failure and shock without complications/major complications 1,412 $17,692 $4,507 35
312 Syncope and collapse 2,465 $20,243 $5,605 169
313 Chest pain 3,569 $16,022 $6,099 269
391 Esophagitis, gastroenteritis & miscellaneous digestive disorders with major complications 2,020 $30,555 $11,662 183
392 Esophagitis, gastroenteritis & miscellaneous digestive disorders without major complications 9,840 $19,970 $9,339 1,397
459 Spinal fusion except cervical with major complications 272 $198,079 $76,832 28
460 Spinal fusion except cervical without major complications 4,293 $129,446 $54,105 881
469 Major joint replacement or reattachment of lower extremity with major complications 800 $85,271 $21,223 49
470 Major joint replacement or reattachment of lower extremity without major complications 16,699 $61,048 $24,806 1,960
551 Medical back problems with major complications 401 $39,326 $5,626 14
552 Medical back problems without major complications 2,539 $22,043 $10,768 282
602 Cellulitis with major complications 671 $35,028 $16,554 33
603 Cellulitis without major complications 4,224 $19,157 $8,229 440
640 Nutritional & miscellaneous metabolic disorders with major complications 1,816 $27,804 $11,413 117
641 Nutritional & miscellaneous metabolic disorders without major complications 3,969 $17,804 $7,085 363
689 Kidney & urinary tract infections with major complications 1,560 $26,107 $6,704 62
690 Kidney & urinary tract infections without major complications 4,301 $18,191 $7,392 318
742 Uterine & adnexa procedure for non-malignancy with complications/major complications 1,258 $39,112 $14,004 313
743 Uterine & adnexa procedure for non-malignancy without complications/major complications 3,969 $27,533 $11,121 1,176
765 Cesarean section with complications/major complications 6,919 $25,671 $13,089 1,684
766 Cesarean section without complications/major complications 10,146 $17,115 $9,537 2,409
767 Vaginal delivery with sterilization &/or dilation & curettage 1,803 $17,472 $8,608 264
768 Vaginal delivery with operating room procedure except sterilization &/or dilation & curettage 24 $42,702 $7,855 10
774 Vaginal delivery with complicating diagnoses 6,971 $13,451 $7,068 1,300
775 Vaginal delivery without complicating diagnoses 36,502 $9,750 $5,348 7,737
781 Other antepartum diagnoses with medical complications 2,357 $16,748 $8,889 261
782 Other antepartum diagnoses without medical complications 531 $11,036 $7,736 84
789 Neonates, died or transferred to another acute care facility 708 $90,662 $45,223 83
790 Extreme immaturity or respiratory distress syndrome, neonate 1,294 $271,877 $111,673 268
791 Prematurity with major problems 1,338 $109,505 $43,730 261
792 Prematurity without major problems 3,312 $26,370 $16,444 542
793 Full term neonate with major problems 2,530 $28,215 $8,442 881
794 Neonate with other significant problems 11,601 $5,426 $3,412 2,272
795 Normal newborn 37,539 $3,251 $1,718 6,869
870 Septicemia or severe sepsis with mechanical ventilation 96+ hours 460 $186,660 $79,030 13
871 Septicemia or severe sepsis without mechanical ventilation 96+ hours with major complications 5,378 $53,464 $21,330 372
872 Septicemia or severe sepsis without mechanical ventilation 96+ hours without major complications 1,808 $28,099 $12,222 152
885 Psychoses 11,358 $15,568 $5,831 988
896 Alcohol/drug abuse or dependence without rehabilitation therapy with major complications 994 $42,990 $17,791 49
897 Alcohol/drug abuse or dependence without rehabilitation therapy without major complications 4,905 $14,256 $7,205 356
917 Poisoning & toxic effects of drugs with major complications 1,679 $42,385 $18,279 123
918 Poisoning & toxic effects of drugs without major complications 2,680 $17,476 $8,665 252
945 Rehabilitation with complications/major complications 4,585 $50,075 $38,187 218
946 Rehabilitation without complications/major complications 1,202 $30,565 $10,856 47
Please select a Company:
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Aetna Health Inc.
Aetna Life Insurance Company
CIGNA HealthCare of Colorado, Inc.
Colorado Choice Health Plans dba San Luis Valley HMO
Connecticut General Life Insurance Company
Freedom Life Insurance Company of America
Golden Rule Insurance Company
HMO Colorado, Inc.
Humana Health Plan, Inc.
Humana Insurance Company
John Alden Life Insurance Company
KAISER FOUNDATION HEALTH PLAN OF COLORADO
New York LIfe Insurance Company
PacifiCare of Colorado, Inc.
Rocky Mountain Health Maintenance Organization, Inc.
Rocky Mountain HealthCare Options, Inc.
Rocky Mountain Hospital and Medical Service, Inc.
Time Insurance Company
Trustmark Life Insurance Company
United States Fire Insurance Company
UnitedHealthcare Insurance Company
World Insurance Company
Select a Code
190: Chronic obstructive pulmonary disease with major complications
191: Chronic obstructive pulmonary disease with complications
192: Chronic obstructive pulmonary disease without complications/major complications
193: Simple pneumonia and pleurisy with major complications
194: Simple pneumonia and pleurisy with complications
195: Simple pneumonia and pleurisy without complications/major complications
202: Bronchitis and asthma with complications/major complications
203: Bronchitis and asthma without complications/major complications
246: Percutaneous cardiovascular procedure with drug-eluting stent with major complications or 4+ vessels/stents
247: Percutaneous cardiovascular procedure with drug-eluting stent without major complications
286: Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization with major complications
287: Circulatory disorders except acute myocardial infarction, with cardiovascular catheterization without major complications
291: Heart failure and shock with major complications
292: Heart failure and shock with complications
293: Heart failure and shock without complications/major complications
312: Syncope and collapse
313: Chest pain
391: Esophagitis, gastroenteritis & miscellaneous digestive disorders with major complications
392: Esophagitis, gastroenteritis & miscellaneous digestive disorders without major complications
459: Spinal fusion except cervical with major complications
460: Spinal fusion except cervical without major complications
469: Major joint replacement or reattachment of lower extremity with major complications
470: Major joint replacement or reattachment of lower extremity without major complications
551: Medical back problems with major complications
552: Medical back problems without major complications
602: Cellulitis with major complications
603: Cellulitis without major complications
640: Nutritional & miscellaneous metabolic disorders with major complications
641: Nutritional & miscellaneous metabolic disorders without major complications
689: Kidney & urinary tract infections with major complications
690: Kidney & urinary tract infections without major complications
742: Uterine & adnexa procedure for non-malignancy with complications/major complications
743: Uterine & adnexa procedure for non-malignancy without complications/major complications
765: Cesarean section with complications/major complications
766: Cesarean section without complications/major complications
767: Vaginal delivery with sterilization &/or dilation & curettage
768: Vaginal delivery with operating room procedure except sterilization &/or dilation & curettage
774: Vaginal delivery with complicating diagnoses
775: Vaginal delivery without complicating diagnoses
781: Other antepartum diagnoses with medical complications
782: Other antepartum diagnoses without medical complications
789: Neonates, died or transferred to another acute care facility
790: Extreme immaturity or respiratory distress syndrome, neonate
791: Prematurity with major problems
792: Prematurity without major problems
793: Full term neonate with major problems
794: Neonate with other significant problems
795: Normal newborn
870: Septicemia or severe sepsis with mechanical ventilation 96+ hours
871: Septicemia or severe sepsis without mechanical ventilation 96+ hours with major complications
872: Septicemia or severe sepsis without mechanical ventilation 96+ hours without major complications
885: Psychoses
896: Alcohol/drug abuse or dependence without rehabilitation therapy with major complications
897: Alcohol/drug abuse or dependence without rehabilitation therapy without major complications
917: Poisoning & toxic effects of drugs with major complications
918: Poisoning & toxic effects of drugs without major complications
945: Rehabilitation with complications/major complications
946: Rehabilitation without complications/major complications
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