Colorado / Adventhealth Avista
CMS certification 060103 · Louisville, CO · 2 entries in CMS's price-transparency list
Adventhealth Avista: charges and Medicare payments
Adventhealth Avista reported 65 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 5.12 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 30 stays at an average charge of $84,906, 6% below the national average. It also billed 751 outpatient services, charging 9.56 times what Medicare paid.
- 1Medicare inpatient stays 65
- 2Charge ÷ paid, inpatient 5.12×
- 3Rank in CO (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 3 DRGs that can be compared with the national average, Adventhealth Avista charged more than the national average in 1 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 30 | $84,906 | -6% | $15,102 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 24 | $280,063 | 0% | $61,955 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 11 | $240,330 | +18% | $34,950 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Avista charged $84,906 on average, 25% less than the Colorado average of $113,091, and was paid $15,102 against a state average of $16,848. For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), Adventhealth Avista charged $280,063 on average, 32% less than the Colorado average of $410,883, and was paid $61,955 against a state average of $56,771. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Adventhealth Avista charged $240,330 on average, 15% less than the Colorado average of $281,308, and was paid $34,950 against a state average of $41,656. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,579 was 41% above the state average of $10,331. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $82,411 was 8% below the state average of $89,547. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,114 was 28% below the state average of $15,378. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $44,844 was 32% above the state average of $34,074.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Avista in Louisville, CO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-17 (CMS case 677)
- Met Requirements — 2025-04-02 (CMS case 3523)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.