Colorado / Penrose Hospital

CMS certification 060031 · Colorado Springs, CO · 3 entries in CMS's price-transparency list

Penrose Hospital: charges and Medicare payments

Penrose Hospital reported 3,951 Medicare inpatient stays across 117 DRGs in 2024. Across them it charged 6.3 times what it was paid — mid-range in Colorado, number 20 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: 568 stays at an average charge of $96,970, 7% above the national average. It also billed 4,192 outpatient services, charging 7.89 times what Medicare paid.

1Medicare inpatient stays 3,951
2Charge ÷ paid, inpatient 6.3×
3Rank in CO (highest ratio = 1) 20 of 37
4CMS price-transparency actions 3

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

Inpatient stays

For the 117 DRGs that can be compared with the national average, Penrose Hospital charged more than the national average in 76 (65%). 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	568	$96,970	+7%	$15,490
291 Heart Failure and Shock with MCC	229	$72,839	+29%	$10,311
177 Respiratory Infections and Inflammations with MCC	95	$75,237	+7%	$12,657
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	92	$60,476	+23%	$8,444
274 Percutaneous and Other Intracardiac Procedures without MCC	85	$211,586	+35%	$24,523
853 Infectious and Parasitic Diseases with O.R. Procedures with...	81	$210,836	-8%	$37,234
189 Pulmonary Edema and Respiratory Failure	80	$67,435	+17%	$9,840
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	80	$214,894	+6%	$36,616
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	79	$111,112	+11%	$17,514
470 Major Hip and Knee Joint Replacement or Reattachment of...	78	$87,967	-6%	$14,892
698 Other Kidney and Urinary Tract Diagnoses with MCC	61	$86,466	+18%	$12,540
193 Simple Pneumonia and Pleurisy with MCC	59	$58,557	-2%	$10,218
682 Renal Failure with MCC	58	$77,733	+18%	$11,677
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	55	$65,077	0%	$10,683
683 Renal Failure with CC	55	$50,041	+23%	$7,840
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	50	$68,340	+23%	$8,131
481 Hip and Femur Procedures except Major Joint with CC	50	$118,952	+18%	$16,329
280 Acute Myocardial Infarction, Discharged Alive with MCC	49	$81,986	+8%	$12,169
266 Endovascular Cardiac Valve Replacement and Supplement...	47	$305,717	+7%	$46,456
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$77,457	+28%	$10,962
378 Gastrointestinal Hemorrhage with CC	43	$52,794	+9%	$7,769
330 Major Small and Large Bowel Procedures with CC	42	$124,658	+5%	$18,585
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	42	$52,401	+30%	$6,470
308 Cardiac Arrhythmia and Conduction Disorders with MCC	41	$64,041	+13%	$9,554
454 Combined Anterior and Posterior Spinal Fusion with CC	41	$260,774	-7%	$49,920
329 Major Small and Large Bowel Procedures with MCC	38	$179,961	-16%	$34,351
377 Gastrointestinal Hemorrhage with MCC	38	$96,840	+13%	$14,006
468 Revision of Hip or Knee Replacement without CC/MCC	38	$132,237	+7%	$22,776
552 Medical Back Problems without MCC	38	$72,349	+48%	$7,997
322 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$115,548	+1%	$13,888
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$73,785	+21%	$9,927
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	32	$115,512	+13%	$15,597
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$49,380	+33%	$6,249
689 Kidney and Urinary Tract Infections with MCC	31	$67,068	+31%	$9,242
314 Other Circulatory System Diagnoses with MCC	30	$90,601	-4%	$16,652
281 Acute Myocardial Infarction, Discharged Alive with CC	29	$68,220	+35%	$8,720
393 Other Digestive System Diagnoses with MCC	29	$124,964	+63%	$16,295
483 Major Joint or Limb Reattachment Procedures of Upper...	29	$112,928	-11%	$20,466
690 Kidney and Urinary Tract Infections without MCC	29	$58,500	+55%	$7,200
025 Craniotomy and Endovascular Intracranial Procedures with MCC	27	$193,819	-16%	$31,668
637 Diabetes with MCC	27	$77,501	+17%	$11,201
321 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$143,641	-12%	$24,729
389 Gastrointestinal Obstruction with CC	25	$63,753	+64%	$6,423
331 Major Small and Large Bowel Procedures without CC/MCC	24	$93,653	+9%	$17,206
388 Gastrointestinal Obstruction with MCC	24	$57,801	-16%	$11,831
480 Hip and Femur Procedures except Major Joint with MCC	24	$143,638	+4%	$20,793
813 Coagulation Disorders	24	$91,796	+15%	$13,223
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	23	$157,747	+17%	$21,608
309 Cardiac Arrhythmia and Conduction Disorders with CC	22	$34,176	-5%	$5,940
444 Disorders of The Biliary Tract with MCC	22	$83,542	0%	$11,796
100 Seizures with MCC	21	$105,381	+12%	$15,480
208 Respiratory System Diagnosis with Ventilator Support <=96...	21	$177,254	+31%	$24,848
551 Medical Back Problems with MCC	21	$96,356	+22%	$12,344
854 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$86,511	-12%	$15,660
862 Postoperative and Post-Traumatic Infections with MCC	21	$75,663	-9%	$14,033
069 Transient Ischemia without Thrombolytic	20	$60,242	+19%	$6,404
312 Syncope and Collapse	20	$65,249	+43%	$6,912
432 Cirrhosis and Alcoholic Hepatitis with MCC	20	$97,259	+2%	$14,976
460 Spinal Fusion except Cervical without MCC	20	$127,763	-25%	$27,297
917 Poisoning and Toxic Effects of Drugs with MCC	20	$92,886	+24%	$12,111

Showing the 60 most frequent of 117 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	736	$37,034	$2,574
Level 5 Musculoskeletal Procedures	544	$66,345	$12,450
Level 2 Upper GI Procedures	214	$12,938	$1,811
Level 6 Musculoskeletal Procedures	193	$92,924	$17,285
Level 4 Musculoskeletal Procedures	165	$43,232	$6,646
Level 1 Endovascular Procedures	161	$24,102	$3,079
Level 3 Vascular Procedures	160	$17,757	$3,007
Level 1 Laparoscopy and Related Services	147	$38,639	$5,463
Level 2 Excision/ Biopsy/ Incision and Drainage	131	$14,088	$1,543
Level 5 Urology and Related Services	130	$35,836	$4,896
Level 3 Electrophysiologic Procedures	122	$134,652	$22,378
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	117	$18,949	$3,293
Level 3 Musculoskeletal Procedures	103	$20,458	$3,081
Level 3 Excision/ Biopsy/ Incision and Drainage	97	$20,510	$2,705
Level 4 Urology and Related Services	97	$23,689	$3,291
Level 1 Nerve Procedures	85	$12,641	$1,838
Level 2 Laparoscopy and Related Services	81	$79,482	$9,717
Level 3 Urology and Related Services	76	$12,808	$1,898
Level 3 Pacemaker and Similar Procedures	66	$51,528	$10,156
Level 2 Vascular Procedures	64	$14,904	$1,525
Level 2 Musculoskeletal Procedures	56	$13,706	$1,530
Level 2 Breast/Lymphatic Surgery and Related Procedures	54	$53,403	$6,208
Level 3 Endovascular Procedures	49	$77,585	$10,282
Level 3 Upper GI Procedures	49	$19,897	$3,587
Complex GI Procedures	49	$35,968	$5,425

Against the Colorado average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Penrose Hospital charged $96,970 on average, 14% less than the Colorado average of $113,091, and was paid $15,490 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Penrose Hospital charged $72,839 on average, 2% more than the Colorado average of $71,240, and was paid $10,311 against a state average of $11,134. For Respiratory Infections and Inflammations with MCC (DRG 177), Penrose Hospital charged $75,237 on average, 13% less than the Colorado average of $86,428, and was paid $12,657 against a state average of $13,957. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Penrose Hospital charged $60,476 on average, 6% less than the Colorado average of $64,370, and was paid $8,444 against a state average of $9,284. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,034 was 9% above the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $66,345 was 26% below the state average of $89,547. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,938 was 12% below the state average of $14,762. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $92,924 was 19% below the state average of $114,973.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Penrose Hospital in Colorado Springs, CO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-06-09 (CMS case 4964)
Warning Notice — 2026-04-07 (CMS case 7384)
Closure Notice — 2026-07-09 (CMS case 7384)

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.