Colorado / Adventhealth Porter

CMS certification 060064 · Denver, CO

Adventhealth Porter: charges and Medicare payments

Adventhealth Porter reported 753 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 6.33 times what it was paid — mid-range in Colorado, number 19 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: 134 stays at an average charge of $103,384, 14% above the national average. It also billed 2,186 outpatient services, charging 8.02 times what Medicare paid.

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  1. 1Medicare inpatient stays 753
  2. 2Charge ÷ paid, inpatient 6.33×
  3. 3Rank in CO (highest ratio = 1) 19 of 37
  4. 4CMS price-transparency actions 0
DRG 871$103,384DRG 291$76,485DRG 274$210,182DRG 467$154,421DRG 698$103,239DRG 652$287,473DRG 454$399,272DRG 189$81,118DRG 872$55,895DRG 853$207,060
Average charge per stay at Adventhealth Porter, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 28 DRGs that can be compared with the national average, Adventhealth Porter charged more than the national average in 22 (79%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC134$103,384+14%$17,114
291 Heart Failure and Shock with MCC60$76,485+36%$11,531
274 Percutaneous and Other Intracardiac Procedures without MCC57$210,182+34%$26,336
467 Revision of Hip or Knee Replacement with CC42$154,421-2%$27,753
698 Other Kidney and Urinary Tract Diagnoses with MCC35$103,239+41%$14,109
652 Kidney Transplant33$287,473-15%$29,341
454 Combined Anterior and Posterior Spinal Fusion with CC31$399,272+43%$63,397
189 Pulmonary Edema and Respiratory Failure27$81,118+41%$11,604
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC27$55,895+14%$10,037
853 Infectious and Parasitic Diseases with O.R. Procedures with...24$207,060-10%$41,090
177 Respiratory Infections and Inflammations with MCC22$92,716+31%$14,722
460 Spinal Fusion except Cervical without MCC22$219,579+29%$35,167
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...22$79,151+31%$12,906
453 Combined Anterior and Posterior Spinal Fusion with MCC20$448,349-1%$86,154
193 Simple Pneumonia and Pleurisy with MCC19$67,141+12%$11,355
472 Cervical Spinal Fusion with CC18$153,574+7%$23,506
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...16$88,352+45%$13,852
683 Renal Failure with CC16$54,403+34%$7,910
427 Multiple Level Combined Anterior and Posterior Spinal Fusion...15$377,480+10%$75,329
468 Revision of Hip or Knee Replacement without CC/MCC15$178,602+44%$20,274
603 Cellulitis without MCC14$41,451+11%$8,829
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale13$63,751-2%$11,847
308 Cardiac Arrhythmia and Conduction Disorders with MCC13$60,034+6%$10,625
470 Major Hip and Knee Joint Replacement or Reattachment of...13$89,612-4%$19,427
699 Other Kidney and Urinary Tract Diagnoses with CC12$55,914+18%$9,470
280 Acute Myocardial Infarction, Discharged Alive with MCC11$89,952+19%$13,952
309 Cardiac Arrhythmia and Conduction Disorders with CC11$57,329+59%$12,143
863 Postoperative and Post-Traumatic Infections without MCC11$73,588+63%$9,079

Outpatient services

Against the Colorado average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Porter charged $103,384 on average, 9% less than the Colorado average of $113,091, and was paid $17,114 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Porter charged $76,485 on average, 7% more than the Colorado average of $71,240, and was paid $11,531 against a state average of $11,134. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Adventhealth Porter charged $210,182 on average, 15% more than the Colorado average of $182,506, and was paid $26,336 against a state average of $26,546. For Revision of Hip or Knee Replacement with CC (DRG 467), Adventhealth Porter charged $154,421 on average, 30% less than the Colorado average of $219,444, and was paid $27,753 against a state average of $28,633. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $72,364 was 19% below the state average of $89,547. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $172,756 was 10% below the state average of $192,784. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,258 was 31% below the state average of $14,762. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $62,018 was 4% above the state average of $59,796.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.