Colorado / Adventhealth Castle Rock
CMS certification 060125 · Castle Rock, CO · 3 entries in CMS's price-transparency list
Adventhealth Castle Rock: charges and Medicare payments
Adventhealth Castle Rock reported 419 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 6.56 times what it was paid — mid-range in Colorado, number 18 of 37 hospitals with at least 100 stays (state median 6.33×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 110 stays at an average charge of $85,384, 5% below the national average. It also billed 1,046 outpatient services, charging 9.01 times what Medicare paid.
- 1Medicare inpatient stays 419
- 2Charge ÷ paid, inpatient 6.56×
- 3Rank in CO (highest ratio = 1) 18 of 37
- 4CMS price-transparency actions 3
Inpatient stays
For the 18 DRGs that can be compared with the national average, Adventhealth Castle Rock charged more than the national average in 13 (72%). 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 | 110 | $85,384 | -5% | $14,519 |
| 291 Heart Failure and Shock with MCC | 46 | $65,928 | +17% | $10,275 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $52,083 | -13% | $10,233 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $65,326 | +33% | $9,478 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $84,274 | +15% | $11,859 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $62,226 | -12% | $12,125 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $72,731 | +26% | $9,407 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $115,006 | +14% | $14,833 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $64,600 | -1% | $10,441 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $70,038 | +44% | $7,688 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $96,198 | +27% | $14,320 |
| 312 Syncope and Collapse | 12 | $68,814 | +51% | $6,795 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $50,022 | +25% | $6,233 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $114,857 | +23% | $14,018 |
| 552 Medical Back Problems without MCC | 12 | $68,956 | +41% | $8,545 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $47,123 | +27% | $6,721 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $195,833 | +24% | $25,280 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 11 | $122,601 | -1% | $19,546 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 314 | $9,876 | $2,192 |
| Level 5 Musculoskeletal Procedures | 144 | $83,712 | $12,437 |
| Level 4 Musculoskeletal Procedures | 114 | $59,648 | $6,655 |
| Level 1 Nerve Procedures | 102 | $13,777 | $1,838 |
| Comprehensive Observation Services | 81 | $45,750 | $2,606 |
| Level 1 Laparoscopy and Related Services | 51 | $40,823 | $5,493 |
| Level 3 Musculoskeletal Procedures | 48 | $26,310 | $3,081 |
| Level 2 Upper GI Procedures | 31 | $11,950 | $1,811 |
| Level 3 Lower GI Procedures | 30 | $11,336 | $2,671 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 28 | $14,006 | $1,488 |
| Level 6 Musculoskeletal Procedures | 22 | $126,200 | $16,971 |
| Level 1 Endovascular Procedures | 20 | $24,175 | $3,107 |
| Level 2 Musculoskeletal Procedures | 19 | $12,262 | $1,530 |
| Level 2 Neurostimulator and Related Procedures | 18 | $43,732 | $5,064 |
| Level 2 Intraocular Procedures | 13 | $41,674 | $3,870 |
| Level 5 Urology and Related Services | 11 | $28,863 | $4,926 |
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Castle Rock charged $85,384 on average, 24% less than the Colorado average of $113,091, and was paid $14,519 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Castle Rock charged $65,928 on average, 7% less than the Colorado average of $71,240, and was paid $10,275 against a state average of $11,134. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth Castle Rock charged $52,083 on average, 24% less than the Colorado average of $68,465, and was paid $10,233 against a state average of $11,488. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventhealth Castle Rock charged $65,326 on average, 1% more than the Colorado average of $64,370, and was paid $9,478 against a state average of $9,284. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,876 was 4% below the state average of $10,331. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,712 was 7% below the state average of $89,547. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $59,648 was 0% below the state average of $59,796. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,777 was 10% below the state average of $15,378.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Castle Rock in Castle Rock, CO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-03-07 (CMS case 1615)
- Closure Notice — 2024-06-13 (CMS case 1615)
- Met Requirements — 2025-07-16 (CMS case 5805)
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.