Colorado / HCA Healthone Presbyterian St Lukes
CMS certification 060014 · Denver, CO
HCA Healthone Presbyterian St Lukes: charges and Medicare payments
HCA Healthone Presbyterian St Lukes reported 596 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 11.63 times what it was paid — among the higher ratios in Colorado, number 6 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: 74 stays at an average charge of $259,082, 187% above the national average. It also billed 787 outpatient services, charging 29.08 times what Medicare paid.
- 1Medicare inpatient stays 596
- 2Charge ÷ paid, inpatient 11.63×
- 3Rank in CO (highest ratio = 1) 6 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 30 DRGs that can be compared with the national average, HCA Healthone Presbyterian St Lukes charged more than the national average in 30 (100%). 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 | 74 | $259,082 | +187% | $24,195 |
| 834 Acute Leukemia with MCC | 43 | $940,414 | +228% | $78,594 |
| 016 Autologous Bone Marrow Transplant with CC/MCC | 41 | $607,101 | +122% | $96,246 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 39 | $857,634 | +207% | $59,160 |
| 014 Allogeneic Bone Marrow Transplant | 28 | $1,231,230 | +112% | $105,986 |
| 467 Revision of Hip or Knee Replacement with CC | 24 | $462,372 | +193% | $30,280 |
| 840 Lymphoma and Non-Acute Leukemia with MCC | 24 | $625,329 | +301% | $51,225 |
| 330 Major Small and Large Bowel Procedures with CC | 22 | $401,347 | +237% | $37,824 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $166,468 | +127% | $13,676 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 21 | $121,119 | +79% | $12,055 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $524,108 | +129% | $53,623 |
| 652 Kidney Transplant | 16 | $756,745 | +125% | $53,524 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 15 | $244,696 | +185% | $14,166 |
| 427 Multiple Level Combined Anterior and Posterior Spinal Fusion... | 15 | $1,013,853 | +197% | $85,501 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $138,407 | +96% | $14,005 |
| 291 Heart Failure and Shock with MCC | 14 | $210,041 | +273% | $12,058 |
| 837 Chemotherapy with Acute Leukemia As Secondary Diagnosis or... | 14 | $1,165,465 | +398% | $81,285 |
| 841 Lymphoma and Non-Acute Leukemia with CC | 14 | $268,291 | +222% | $14,015 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $119,083 | +99% | $11,171 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $536,357 | +149% | $37,842 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 12 | $418,511 | +238% | $22,520 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $273,060 | +193% | $22,000 |
| 018 Chimeric Antigen Receptor (Car) T-Cell and Other... | 11 | $3,224,959 | +46% | $282,683 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $109,981 | +91% | $10,117 |
| 457 Spinal Fusion except Cervical with Spinal Curvature,... | 11 | $863,773 | +199% | $51,837 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $182,267 | +202% | $12,547 |
| 682 Renal Failure with MCC | 11 | $154,923 | +135% | $12,439 |
| 683 Renal Failure with CC | 11 | $82,930 | +104% | $7,854 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $126,072 | +166% | $10,215 |
| 809 Major Hematological and Immunological Diagnoses except... | 11 | $129,857 | +107% | $10,886 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 3 Excision/ Biopsy/ Incision and Drainage | 217 | $94,742 | $2,705 |
| Level 3 Vascular Procedures | 106 | $52,070 | $3,034 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 88 | $31,491 | $1,543 |
| Level 2 Upper GI Procedures | 72 | $31,864 | $1,811 |
| Comprehensive Observation Services | 69 | $63,556 | $2,606 |
| Level 2 Vascular Procedures | 60 | $24,866 | $1,525 |
| Level 1 Laparoscopy and Related Services | 40 | $167,458 | $5,493 |
| Level 3 Endovascular Procedures | 27 | $166,564 | $10,136 |
| Level 5 Musculoskeletal Procedures | 23 | $215,298 | $12,510 |
| Level 4 Musculoskeletal Procedures | 19 | $165,494 | $6,810 |
| Level 5 Airway Endoscopy | 15 | $113,665 | $6,515 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 15 | $46,110 | $2,225 |
| Complex GI Procedures | 13 | $89,064 | $5,425 |
| Level 3 Musculoskeletal Procedures | 12 | $69,152 | $2,877 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $100,836 | $3,293 |
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Healthone Presbyterian St Lukes charged $259,082 on average, 129% more than the Colorado average of $113,091, and was paid $24,195 against a state average of $16,848. For Acute Leukemia with MCC (DRG 834), HCA Healthone Presbyterian St Lukes charged $940,414 on average, 57% more than the Colorado average of $597,240, and was paid $78,594 against a state average of $62,629. For Autologous Bone Marrow Transplant with CC/MCC (DRG 016), HCA Healthone Presbyterian St Lukes charged $607,101 on average, 5% more than the Colorado average of $580,578, and was paid $96,246 against a state average of $91,627. For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), HCA Healthone Presbyterian St Lukes charged $857,634 on average, 109% more than the Colorado average of $410,883, and was paid $59,160 against a state average of $56,771. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $94,742 was 210% above the state average of $30,525. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $52,070 was 93% above the state average of $26,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $31,491 was 127% above the state average of $13,898. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $31,864 was 116% above the state average of $14,762.
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.