Colorado / Community Hospital
CMS certification 060054 · Grand Junction, CO
Community Hospital: charges and Medicare payments
Community Hospital reported 150 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 4.61 times what it was paid — among the lower ratios in Colorado, number 27 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: 45 stays at an average charge of $74,526, 17% below the national average. It also billed 1,599 outpatient services, charging 6.72 times what Medicare paid.
- 1Medicare inpatient stays 150
- 2Charge ÷ paid, inpatient 4.61×
- 3Rank in CO (highest ratio = 1) 27 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Community Hospital charged more than the national average in 1 (13%). 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 | 45 | $74,526 | -17% | $14,354 |
| 291 Heart Failure and Shock with MCC | 18 | $58,005 | +3% | $9,998 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $58,072 | -3% | $10,262 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $47,918 | -2% | $8,076 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 15 | $103,096 | -49% | $34,849 |
| 460 Spinal Fusion except Cervical without MCC | 15 | $89,043 | -48% | $26,140 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $88,185 | -26% | $17,515 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 12 | $116,477 | -6% | $19,958 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Hospital charged $74,526 on average, 34% less than the Colorado average of $113,091, and was paid $14,354 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Community Hospital charged $58,005 on average, 19% less than the Colorado average of $71,240, and was paid $9,998 against a state average of $11,134. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Community Hospital charged $58,072 on average, 15% less than the Colorado average of $68,465, and was paid $10,262 against a state average of $11,488. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Community Hospital charged $47,918 on average, 26% less than the Colorado average of $64,370, and was paid $8,076 against a state average of $9,284. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,474 was 40% below the state average of $89,547. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,408 was 17% below the state average of $34,074. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,566 was 5% above the state average of $13,898. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,701 was 34% below the state average of $32,669.
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.