The Price of Medicare Procedures in Colorado



This table shows the 100 most frequently charged procedures/diagnosis in Colorado to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Colorado 134 $23660 $5131 $18529
Acute Myocardial Infarction Discharged Alive With Complications
 Colorado 248 $33766 $7884 $25882
Acute Myocardial Infarction Discharged Alive With Major Complications
 Colorado 239 $53716 $12779 $40937
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Colorado 188 $20091 $4878 $15213
Atherosclerosis No Major Complications
 Colorado 62 $15422 $3774 $11648
Back And Neck Proc Exc Spinal Fusion No Complications
 Colorado 512 $35844 $6951 $28893
Bronchitis And Asthma No Complications
 Colorado 41 $17882 $4091 $13791
Bronchitis And Asthma With Complications
 Colorado 263 $25180 $5854 $19326
Cardiac Arrhythmia And Conduction Disorders No Complications
 Colorado 759 $15912 $3767 $12145
Cardiac Arrhythmia And Conduction Disorders With Complications
 Colorado 953 $23218 $5563 $17655
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Colorado 428 $37394 $8140 $29254
Cellulitis No Major Complications
 Colorado 1082 $22045 $5516 $16529
Cellulitis With Major Complications
 Colorado 86 $35074 $9758 $25316
Cervical Spinal Fusion No Complications
 Colorado 335 $68168 $14390 $53778
Chest Pain
 Colorado 1019 $17574 $3709 $13865
Chronic Obstructive Pulmonary Disease No Complications
 Colorado 692 $18609 $4788 $13821
Chronic Obstructive Pulmonary Disease With Complications
 Colorado 1030 $26328 $6453 $19875
Chronic Obstructive Pulmonary Disease With Major Complications
 Colorado 1021 $31599 $7942 $23657
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Colorado 755 $35918 $7504 $28414
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Colorado 82 $77320 $16991 $60329
Cranial And Peripheral Nerve Disorders No Major Complications
 Colorado 145 $23494 $6192 $17302
Degenerative Nervous System Disorders No Major Complications
 Colorado 254 $25473 $6069 $19404
Diabetes With Complications
 Colorado 354 $20883 $5573 $15310
Disorders Of Pancreas Except Malignancy With Complications
 Colorado 175 $29229 $7075 $22154
Dysequilibrium
 Colorado 166 $20701 $4262 $16439
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Colorado 2337 $21923 $4804 $17119
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Colorado 481 $33717 $7884 $25833
Extracranial Procedures No Complications
 Colorado 255 $33554 $6912 $26642
Fractures Of Hip And Pelvis No Major Complications
 Colorado 354 $20047 $4536 $15511
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Colorado 280 $21692 $4492 $17200
Gi Hemorrhage No Complications
 Colorado 245 $17395 $4616 $12779
Gi Hemorrhage With Complications
 Colorado 1280 $27678 $6667 $21011
Gi Hemorrhage With Major Complications
 Colorado 379 $45134 $11658 $33476
Gi Obstruction No Complications
 Colorado 365 $17581 $4229 $13352
Gi Obstruction With Complications
 Colorado 527 $26472 $6394 $20078
Heart Failure And Shock No Complications
 Colorado 508 $18863 $4447 $14416
Heart Failure And Shock With Complications
 Colorado 1587 $27517 $6762 $20755
Heart Failure And Shock With Major Complications
 Colorado 920 $42116 $9818 $32298
Hip And Femur Procedures Except Major Joint No Complications
 Colorado 207 $40186 $9614 $30572
Hip And Femur Procedures Except Major Joint With Complications
 Colorado 945 $55880 $11812 $44068
Hip And Femur Procedures Except Major Joint With Major Complications
 Colorado 175 $88709 $19875 $68834
Hypertension No Major Complications
 Colorado 89 $16608 $3846 $12762
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Colorado 380 $151962 $37063 $114899
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Colorado 478 $25220 $5189 $20031
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Colorado 929 $33030 $7105 $25925
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Colorado 471 $57286 $12763 $44523
Kidney And Urinary Tract Infections No Major Complications
 Colorado 1835 $20158 $5034 $15124
Kidney And Urinary Tract Infections With Major Complications
 Colorado 470 $31298 $7439 $23859
Laparoscopic Cholecystectomy No Cde No Complications
 Colorado 95 $30849 $7338 $23511
Laparoscopic Cholecystectomy No Cde With Complications
 Colorado 199 $46545 $10594 $35951
Major Cardiovasc Procedures No Major Complications
 Colorado 348 $107440 $22158 $85282
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Colorado 265 $30856 $8028 $22828
Major Joint Replacement Of Lower Extremity No Major Complications
 Colorado 6991 $60268 $14362 $45906
Major Joint Replacement Of Lower Extremity With Major Complications
 Colorado 194 $98178 $21550 $76628
Major Small And Large Bowel Procedures With Complications
 Colorado 694 $71151 $17022 $54129
Major Small And Large Bowel Procedures With Major Complications
 Colorado 406 $134164 $34875 $99289
Medical Back Problems No Major Complications
 Colorado 817 $26093 $5279 $20814
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Colorado 1605 $19878 $4590 $15288
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Colorado 519 $31553 $7929 $23624
Other Circulatory System Diagnoses With Complications
 Colorado 201 $32444 $6818 $25626
Other Circulatory System Diagnoses With Major Complications
 Colorado 360 $53117 $13088 $40029
Other Digestive System Diagnoses With Complications
 Colorado 397 $28114 $6766 $21348
Other Kidney And Urinary Tract Diagnoses With Complications
 Colorado 298 $32221 $6795 $25426
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Colorado 274 $50596 $10659 $39937
Other Vascular Procedures No Complications
 Colorado 120 $59995 $11431 $48564
Other Vascular Procedures With Complications
 Colorado 190 $89084 $17455 $71629
Other Vascular Procedures With Major Complications
 Colorado 171 $90641 $22460 $68181
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Colorado 263 $82092 $13436 $68656
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Colorado 924 $76055 $13955 $62100
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Colorado 149 $118497 $23275 $95222
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Colorado 268 $59580 $11732 $47848
Peripheral Vascular Disorders No Complications
 Colorado 82 $20626 $4445 $16181
Peripheral Vascular Disorders With Complications
 Colorado 200 $26238 $6053 $20185
Permanent Cardiac Pacemaker Implant No Complications
 Colorado 226 $61976 $13530 $48446
Permanent Cardiac Pacemaker Implant With Complications
 Colorado 248 $78179 $16591 $61588
Poisoning And Toxic Effects Of Drugs No Major Complications
 Colorado 303 $19033 $4278 $14755
Poisoning And Toxic Effects Of Drugs With Major Complications
 Colorado 232 $47382 $10552 $36830
Psychoses
 Colorado 52 $13497 $5225 $8272
Pulmonary Edema And Respiratory Failure
 Colorado 941 $34853 $8428 $26425
Pulmonary Embolism No Major Complications
 Colorado 636 $26759 $6898 $19861
Red Blood Cell Disorders No Major Complications
 Colorado 422 $23474 $5632 $17842
Red Blood Cell Disorders With Major Complications
 Colorado 55 $41793 $11161 $30632
Renal Failure No Complications
 Colorado 114 $16946 $4328 $12618
Renal Failure With Complications
 Colorado 1236 $28838 $6755 $22083
Renal Failure With Major Complications
 Colorado 688 $49460 $11474 $37986
Respiratory Infections And Inflammations With Complications
 Colorado 565 $40841 $9549 $31292
Respiratory Infections And Inflammations With Major Complications
 Colorado 594 $56028 $12961 $43067
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Colorado 82 $205441 $40321 $165120
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Colorado 583 $72724 $15637 $57087
Seizures No Major Complications
 Colorado 434 $25232 $5628 $19604
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Colorado 966 $30341 $7760 $22581
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Colorado 2572 $57768 $13090 $44678
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Colorado 47 $193555 $45664 $147891
Signs And Symptoms No Major Complications
 Colorado 643 $21122 $4592 $16530
Simple Pneumonia And Pleurisy No Complications
 Colorado 713 $18020 $4599 $13421
Simple Pneumonia And Pleurisy With Complications
 Colorado 2059 $25346 $6612 $18734
Simple Pneumonia And Pleurisy With Major Complications
 Colorado 1181 $36512 $9377 $27135
Spinal Fusion Except Cervical No Major Complications
 Colorado 1459 $130597 $28151 $102446
Syncope And Collapse
 Colorado 1032 $22065 $4800 $17265
Transient Ischemia
 Colorado 687 $22199 $4660 $17539


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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