Colorado / Montrose Regional Health
CMS certification 060006 · Montrose, CO · 1 entry in CMS's price-transparency list
Montrose Regional Health: charges and Medicare payments
Montrose Regional Health reported 217 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.32 times what it was paid — among the lower ratios in Colorado, number 34 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: 49 stays at an average charge of $40,288, 55% below the national average. It also billed 1,121 outpatient services, charging 6.14 times what Medicare paid.
- 1Medicare inpatient stays 217
- 2Charge ÷ paid, inpatient 3.32×
- 3Rank in CO (highest ratio = 1) 34 of 37
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, Montrose Regional Health 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 | 49 | $40,288 | -55% | $15,038 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $30,535 | -47% | $9,673 |
| 291 Heart Failure and Shock with MCC | 21 | $18,956 | -66% | $9,888 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $82,079 | -28% | $14,251 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $37,092 | -38% | $10,364 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $26,396 | -53% | $9,484 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $22,042 | -57% | $9,211 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $43,903 | -38% | $12,631 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $94,359 | -42% | $21,710 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $21,630 | -46% | $6,526 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $105,916 | -51% | $33,484 |
| 603 Cellulitis without MCC | 11 | $20,069 | -46% | $7,253 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Montrose Regional Health charged $40,288 on average, 64% less than the Colorado average of $113,091, and was paid $15,038 against a state average of $16,848. For Pulmonary Edema and Respiratory Failure (DRG 189), Montrose Regional Health charged $30,535 on average, 61% less than the Colorado average of $77,535, and was paid $9,673 against a state average of $11,131. For Heart Failure and Shock with MCC (DRG 291), Montrose Regional Health charged $18,956 on average, 73% less than the Colorado average of $71,240, and was paid $9,888 against a state average of $11,134. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Montrose Regional Health charged $82,079 on average, 41% less than the Colorado average of $139,715, and was paid $14,251 against a state average of $16,567. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,455 was 58% below the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $58,662 was 34% below the state average of $89,547. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,560 was 46% below the state average of $32,669. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,955 was 37% below the state average of $14,140.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Montrose Regional Health in Montrose, CO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-21 (CMS case 2148)
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.