Colorado / Intermountain Health Platte Valley Hospital
CMS certification 060004 · Brighton, CO · 3 entries in CMS's price-transparency list
Intermountain Health Platte Valley Hospital: charges and Medicare payments
Intermountain Health Platte Valley Hospital reported 125 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 4.46 times what it was paid — among the lower ratios in Colorado, number 30 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: 59 stays at an average charge of $79,919, 11% below the national average. It also billed 481 outpatient services, charging 7.91 times what Medicare paid.
- 1Medicare inpatient stays 125
- 2Charge ÷ paid, inpatient 4.46×
- 3Rank in CO (highest ratio = 1) 30 of 37
- 4CMS price-transparency actions 3
Inpatient stays
For the 5 DRGs that can be compared with the national average, Intermountain Health Platte Valley Hospital charged more than the national average in 0 (0%). 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 | 59 | $79,919 | -11% | $17,614 |
| 291 Heart Failure and Shock with MCC | 24 | $50,540 | -10% | $10,514 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $183,464 | -20% | $42,491 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $41,982 | -14% | $9,460 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $53,822 | -10% | $13,253 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 137 | $29,187 | $2,575 |
| Level 5 Musculoskeletal Procedures | 68 | $55,546 | $12,510 |
| Level 4 Musculoskeletal Procedures | 49 | $39,722 | $6,367 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 43 | $10,171 | $1,515 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 30 | $25,360 | $2,633 |
| Level 3 Musculoskeletal Procedures | 27 | $17,032 | $2,990 |
| Level 1 Endovascular Procedures | 27 | $30,096 | $3,024 |
| Level 3 Vascular Procedures | 19 | $14,791 | $2,907 |
| Level 1 Laparoscopy and Related Services | 18 | $29,526 | $5,250 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $17,990 | $3,293 |
| Level 4 Endovascular Procedures | 13 | $100,506 | $15,502 |
| Level 2 Vascular Procedures | 12 | $16,309 | $1,525 |
| Level 3 Endovascular Procedures | 12 | $64,750 | $10,463 |
| Level 3 Urology and Related Services | 12 | $6,450 | $1,939 |
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Intermountain Health Platte Valley Hospital charged $79,919 on average, 29% less than the Colorado average of $113,091, and was paid $17,614 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Intermountain Health Platte Valley Hospital charged $50,540 on average, 29% less than the Colorado average of $71,240, and was paid $10,514 against a state average of $11,134. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Intermountain Health Platte Valley Hospital charged $183,464 on average, 38% less than the Colorado average of $295,920, and was paid $42,491 against a state average of $43,647. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Intermountain Health Platte Valley Hospital charged $41,982 on average, 35% less than the Colorado average of $64,370, and was paid $9,460 against a state average of $9,284. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,187 was 14% below the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $55,546 was 38% below the state average of $89,547. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $39,722 was 34% below the state average of $59,796. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,171 was 27% below the state average of $13,898.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Intermountain Health Platte Valley Hospital in Brighton, CO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-07-27 (CMS case 1153)
- Closure Notice — 2022-10-11 (CMS case 1153)
- Met Requirements — 2025-08-19 (CMS case 6309)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.