Foothills Hospital: charges and Medicare payments

Foothills Hospital reported 1,315 Medicare inpatient stays across 53 DRGs in 2024. Across them it charged 8.11 times what it was paid — among the higher ratios in Colorado, number 7 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: 96 stays at an average charge of $108,408, 20% above the national average. It also billed 2,476 outpatient services, charging 11.93 times what Medicare paid.

1Medicare inpatient stays 1,315
2Charge ÷ paid, inpatient 8.11×
3Rank in CO (highest ratio = 1) 7 of 37
4CMS price-transparency actions 0

Average charge per stay at Foothills Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 53 DRGs that can be compared with the national average, Foothills Hospital charged more than the national average in 52 (98%). 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	96	$108,408	+20%	$14,554
291 Heart Failure and Shock with MCC	87	$93,404	+66%	$9,665
177 Respiratory Infections and Inflammations with MCC	61	$103,967	+47%	$12,850
193 Simple Pneumonia and Pleurisy with MCC	53	$72,083	+21%	$10,051
189 Pulmonary Edema and Respiratory Failure	48	$69,314	+20%	$9,314
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	47	$44,675	+11%	$6,287
470 Major Hip and Knee Joint Replacement or Reattachment of...	39	$117,350	+26%	$13,828
552 Medical Back Problems without MCC	36	$64,133	+31%	$7,359
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	31	$436,560	+9%	$61,414
266 Endovascular Cardiac Valve Replacement and Supplement...	31	$251,009	-12%	$47,090
378 Gastrointestinal Hemorrhage with CC	31	$70,275	+45%	$7,445
481 Hip and Femur Procedures except Major Joint with CC	31	$156,957	+56%	$14,973
454 Combined Anterior and Posterior Spinal Fusion with CC	30	$435,058	+56%	$50,207
309 Cardiac Arrhythmia and Conduction Disorders with CC	29	$49,063	+36%	$6,175
603 Cellulitis without MCC	29	$49,645	+33%	$6,784
274 Percutaneous and Other Intracardiac Procedures without MCC	28	$167,025	+7%	$24,349
308 Cardiac Arrhythmia and Conduction Disorders with MCC	27	$89,611	+58%	$9,137
322 Percutaneous Cardiovascular Procedures with Intraluminal...	27	$222,823	+95%	$14,040
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	25	$74,629	+15%	$10,340
683 Renal Failure with CC	24	$58,268	+43%	$6,965
467 Revision of Hip or Knee Replacement with CC	23	$172,167	+9%	$23,910
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	22	$74,373	+52%	$7,886
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$51,950	+40%	$6,083
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	20	$114,325	+14%	$12,831
286 Circulatory Disorders except AMI, with Cardiac...	20	$165,684	+48%	$15,973
330 Major Small and Large Bowel Procedures with CC	20	$177,035	+49%	$17,193
682 Renal Failure with MCC	20	$81,902	+24%	$11,259
689 Kidney and Urinary Tract Infections with MCC	20	$92,640	+80%	$8,995
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$85,727	+54%	$7,683
287 Circulatory Disorders except AMI, with Cardiac...	17	$116,530	+82%	$9,227
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$73,319	+22%	$9,749
163 Major Chest Procedures with MCC	15	$247,181	+17%	$40,294
190 Chronic Obstructive Pulmonary Disease with MCC	15	$83,080	+64%	$8,493
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$42,789	+49%	$4,551
312 Syncope and Collapse	15	$58,013	+27%	$6,671
690 Kidney and Urinary Tract Infections without MCC	15	$54,489	+44%	$6,218
853 Infectious and Parasitic Diseases with O.R. Procedures with...	15	$271,996	+19%	$35,837
233 Coronary Bypass with Cardiac Catheterization or Open...	14	$445,257	+16%	$62,858
329 Major Small and Large Bowel Procedures with MCC	14	$408,257	+90%	$47,813
480 Hip and Femur Procedures except Major Joint with MCC	14	$178,164	+28%	$20,456
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	14	$61,462	+44%	$6,751
202 Bronchitis and Asthma with CC/MCC	13	$56,512	+22%	$7,440
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$65,266	+7%	$9,656
536 Fractures of Hip and Pelvis without MCC	13	$53,407	+42%	$6,118
071 Other Cerebrovascular Disorders with CC	12	$73,712	+46%	$7,812
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$157,610	+54%	$15,080
698 Other Kidney and Urinary Tract Diagnoses with MCC	12	$112,961	+54%	$13,544
025 Craniotomy and Endovascular Intracranial Procedures with MCC	11	$245,636	+6%	$29,356
194 Simple Pneumonia and Pleurisy with CC	11	$50,229	+31%	$6,408
242 Permanent Cardiac Pacemaker Implant with MCC	11	$200,617	+25%	$24,739
377 Gastrointestinal Hemorrhage with MCC	11	$109,724	+28%	$13,328
394 Other Digestive System Diagnoses with CC	11	$67,909	+44%	$7,243
948 Signs and Symptoms without MCC	11	$62,807	+65%	$6,113

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	522	$87,148	$12,415
Comprehensive Observation Services	347	$38,008	$2,598
Level 2 Excision/ Biopsy/ Incision and Drainage	208	$13,617	$1,534
Level 1 Endovascular Procedures	203	$57,885	$3,096
Level 1 Laparoscopy and Related Services	120	$59,561	$5,456
Level 3 Electrophysiologic Procedures	116	$353,955	$22,189
Level 6 Urology and Related Services	91	$61,438	$8,767
Level 4 Musculoskeletal Procedures	80	$88,356	$6,675
Level 3 Endovascular Procedures	51	$133,710	$10,463
Level 5 Urology and Related Services	51	$54,090	$4,877
Level 3 Vascular Procedures	50	$23,842	$3,034
Level 3 Musculoskeletal Procedures	49	$53,637	$3,081
Level 2 Pacemaker and Similar Procedures	43	$42,244	$8,087
Level 3 Pacemaker and Similar Procedures	43	$103,948	$10,156
Level 4 Urology and Related Services	42	$39,018	$3,319
Level 3 Airway Endoscopy	38	$35,762	$1,594
Level 2 Musculoskeletal Procedures	35	$18,091	$1,530
Level 3 Urology and Related Services	35	$27,065	$1,939
Level 6 Musculoskeletal Procedures	34	$138,341	$17,701
Level 2 Upper GI Procedures	34	$13,976	$1,811
Level 2 Endovascular Procedures	29	$75,979	$5,441
Level 3 Excision/ Biopsy/ Incision and Drainage	27	$38,096	$2,705
Level 2 Vascular Procedures	27	$9,460	$1,525
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	27	$59,384	$3,206
Level 2 Laparoscopy and Related Services	26	$98,629	$9,792

Against the Colorado average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Foothills Hospital charged $108,408 on average, 4% less than the Colorado average of $113,091, and was paid $14,554 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Foothills Hospital charged $93,404 on average, 31% more than the Colorado average of $71,240, and was paid $9,665 against a state average of $11,134. For Respiratory Infections and Inflammations with MCC (DRG 177), Foothills Hospital charged $103,967 on average, 20% more than the Colorado average of $86,428, and was paid $12,850 against a state average of $13,957. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Foothills Hospital charged $72,083 on average, 5% more than the Colorado average of $68,465, and was paid $10,051 against a state average of $11,488. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $87,148 was 3% below the state average of $89,547. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $38,008 was 12% above the state average of $34,074. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,617 was 2% below the state average of $13,898. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $57,885 was 77% above 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.