Colorado / Adventhealth Littleton
CMS certification 060113 · Littleton, CO · 2 entries in CMS's price-transparency list
Adventhealth Littleton: charges and Medicare payments
Adventhealth Littleton reported 1,435 Medicare inpatient stays across 49 DRGs in 2024. Across them it charged 7.32 times what it was paid — among the higher ratios in Colorado, number 10 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: 278 stays at an average charge of $101,658, 13% above the national average. It also billed 1,301 outpatient services, charging 9.91 times what Medicare paid.
- 1Medicare inpatient stays 1,435
- 2Charge ÷ paid, inpatient 7.32×
- 3Rank in CO (highest ratio = 1) 10 of 37
- 4CMS price-transparency actions 2
Inpatient stays
For the 49 DRGs that can be compared with the national average, Adventhealth Littleton charged more than the national average in 42 (86%). 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 | 278 | $101,658 | +13% | $15,493 |
| 291 Heart Failure and Shock with MCC | 100 | $80,395 | +43% | $10,316 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 60 | $68,428 | +40% | $7,741 |
| 177 Respiratory Infections and Inflammations with MCC | 57 | $69,405 | -2% | $11,820 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 51 | $98,528 | +34% | $12,281 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $82,560 | +43% | $9,667 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $65,700 | +10% | $10,067 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 41 | $239,066 | +4% | $38,182 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 40 | $377,023 | +70% | $36,238 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 35 | $213,044 | -8% | $42,712 |
| 683 Renal Failure with CC | 28 | $54,222 | +33% | $6,823 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $72,275 | +80% | $6,120 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $132,904 | +32% | $14,984 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $113,960 | +14% | $14,572 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $88,273 | +58% | $7,529 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 24 | $106,588 | +5% | $15,914 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $70,238 | +45% | $9,921 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $67,378 | +31% | $8,539 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $100,327 | +32% | $13,816 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $127,529 | +25% | $15,005 |
| 552 Medical Back Problems without MCC | 21 | $77,876 | +59% | $8,312 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 19 | $173,562 | +24% | $17,755 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $150,492 | +34% | $16,669 |
| 312 Syncope and Collapse | 19 | $77,467 | +70% | $6,516 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $76,400 | +27% | $9,768 |
| 682 Renal Failure with MCC | 19 | $87,516 | +33% | $14,234 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $149,285 | +30% | $15,602 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $158,296 | -3% | $29,281 |
| 389 Gastrointestinal Obstruction with CC | 17 | $64,988 | +67% | $6,137 |
| 515 Other Musculoskeletal System and Connective Tissue O.R.... | 17 | $168,864 | +13% | $22,038 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 16 | $316,978 | -20% | $54,309 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $57,708 | +53% | $6,068 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $62,024 | -5% | $10,910 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $46,111 | +28% | $6,881 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $116,282 | +36% | $12,957 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $186,822 | +35% | $20,786 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $74,160 | +47% | $8,259 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $89,721 | +58% | $15,037 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $48,574 | +31% | $6,012 |
| 070 Other Cerebrovascular Disorders with MCC | 13 | $84,812 | +12% | $13,416 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $139,033 | -35% | $30,250 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 13 | $371,843 | +33% | $58,602 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 12 | $88,653 | +30% | $9,788 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 12 | $65,559 | -3% | $9,952 |
| 813 Coagulation Disorders | 12 | $93,864 | +17% | $11,490 |
| 101 Seizures without MCC | 11 | $54,581 | +12% | $8,309 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $75,477 | +49% | $10,276 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $81,853 | +7% | $11,997 |
| 472 Cervical Spinal Fusion with CC | 11 | $209,737 | +47% | $21,647 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Littleton charged $101,658 on average, 10% less than the Colorado average of $113,091, and was paid $15,493 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Littleton charged $80,395 on average, 13% more than the Colorado average of $71,240, and was paid $10,316 against a state average of $11,134. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventhealth Littleton charged $68,428 on average, 6% more than the Colorado average of $64,370, and was paid $7,741 against a state average of $9,284. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Littleton charged $69,405 on average, 20% less than the Colorado average of $86,428, and was paid $11,820 against a state average of $13,957. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,798 was 18% below the state average of $32,669. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,755 was 43% above the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $85,300 was 5% below the state average of $89,547. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $89,128 was 17% below the state average of $106,768.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Littleton in Littleton, CO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-12 (CMS case 1369)
- Met Requirements — 2025-08-01 (CMS case 5795)
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.