Colorado / Longmont United Hospital
CMS certification 060003 · Longmont, CO
Longmont United Hospital: charges and Medicare payments
Longmont United Hospital reported 166 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 5.53 times what it was paid — mid-range in Colorado, number 22 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: 63 stays at an average charge of $83,236, 8% below the national average. It also billed 493 outpatient services, charging 9.98 times what Medicare paid.
- 1Medicare inpatient stays 166
- 2Charge ÷ paid, inpatient 5.53×
- 3Rank in CO (highest ratio = 1) 22 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Longmont United Hospital charged more than the national average in 3 (43%). 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 | 63 | $83,236 | -8% | $15,095 |
| 291 Heart Failure and Shock with MCC | 34 | $61,865 | +10% | $10,623 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $68,204 | +18% | $10,514 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $55,800 | +14% | $10,512 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $95,661 | -5% | $16,169 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $56,347 | -6% | $10,784 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $50,352 | -34% | $13,051 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 150 | $39,393 | $2,597 |
| Level 5 Musculoskeletal Procedures | 59 | $65,854 | $12,510 |
| Level 1 Nerve Procedures | 59 | $11,681 | $1,838 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 58 | $13,381 | $1,524 |
| Level 1 Laparoscopy and Related Services | 24 | $48,730 | $5,493 |
| Level 2 Endovascular Procedures | 22 | $37,738 | $5,441 |
| Level 3 Vascular Procedures | 21 | $18,830 | $3,034 |
| Level 5 Urology and Related Services | 18 | $26,366 | $4,926 |
| Level 4 Urology and Related Services | 17 | $24,319 | $3,255 |
| Level 2 Intraocular Procedures | 15 | $23,100 | $3,870 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 14 | $50,527 | $5,875 |
| Level 1 Endovascular Procedures | 13 | $30,704 | $3,107 |
| Level 1 Intraocular Procedures | 12 | $19,896 | $2,218 |
| Level 2 Vascular Procedures | 11 | $18,655 | $1,525 |
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Longmont United Hospital charged $83,236 on average, 26% less than the Colorado average of $113,091, and was paid $15,095 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Longmont United Hospital charged $61,865 on average, 13% less than the Colorado average of $71,240, and was paid $10,623 against a state average of $11,134. For Pulmonary Edema and Respiratory Failure (DRG 189), Longmont United Hospital charged $68,204 on average, 12% less than the Colorado average of $77,535, and was paid $10,514 against a state average of $11,131. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Longmont United Hospital charged $55,800 on average, 13% less than the Colorado average of $64,370, and was paid $10,512 against a state average of $9,284. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,393 was 16% above the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $65,854 was 26% below the state average of $89,547. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,681 was 24% below the state average of $15,378. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,381 was 4% below the state average of $13,898.
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.