Colorado / Denver Health Medical Center

CMS certification 060011 · Denver, CO

Denver Health Medical Center: charges and Medicare payments

Denver Health Medical Center reported 317 Medicare inpatient stays across 15 DRGs in 2024. Across them it charged 2.84 times what it was paid — among the lower ratios in Colorado, number 36 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: 84 stays at an average charge of $68,584, 24% below the national average. It also billed 700 outpatient services, charging 5.83 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 317
  2. 2Charge ÷ paid, inpatient 2.84×
  3. 3Rank in CO (highest ratio = 1) 36 of 37
  4. 4CMS price-transparency actions 0
DRG 871$68,584DRG 291$65,652DRG 640$52,508DRG 853$101,597DRG 189$28,693DRG 064$123,607DRG 480$177,797DRG 177$63,019DRG 175$59,317DRG 896$42,860
Average charge per stay at Denver Health Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 15 DRGs that can be compared with the national average, Denver Health Medical Center charged more than the national average in 4 (27%). 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 MCC84$68,584-24%$25,737
291 Heart Failure and Shock with MCC25$65,652+16%$18,765
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...25$52,508-13%$19,642
853 Infectious and Parasitic Diseases with O.R. Procedures with...25$101,597-56%$50,397
189 Pulmonary Edema and Respiratory Failure21$28,693-50%$18,430
064 Intracranial Hemorrhage or Cerebral Infarction with MCC17$123,607+24%$25,722
480 Hip and Femur Procedures except Major Joint with MCC17$177,797+28%$34,862
177 Respiratory Infections and Inflammations with MCC16$63,019-11%$21,272
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale15$59,317-9%$20,454
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...14$42,860-45%$24,631
193 Simple Pneumonia and Pleurisy with MCC12$35,199-41%$19,327
280 Acute Myocardial Infarction, Discharged Alive with MCC12$63,575-16%$22,804
481 Hip and Femur Procedures except Major Joint with CC12$102,345+2%$26,125
312 Syncope and Collapse11$28,238-38%$15,025
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC11$33,958-31%$16,639

Outpatient services

Against the Colorado average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Denver Health Medical Center charged $68,584 on average, 39% less than the Colorado average of $113,091, and was paid $25,737 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Denver Health Medical Center charged $65,652 on average, 8% less than the Colorado average of $71,240, and was paid $18,765 against a state average of $11,134. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Denver Health Medical Center charged $52,508 on average, 38% less than the Colorado average of $84,334, and was paid $19,642 against a state average of $12,128. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Denver Health Medical Center charged $101,597 on average, 66% less than the Colorado average of $295,920, and was paid $50,397 against a state average of $43,647. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,549 was 48% below the state average of $34,074. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,396 was 10% above the state average of $10,331. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,840 was 58% below the state average of $13,898. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,939 was 52% below the state average of $4,079.

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.