Poudre Valley Hospital: charges and Medicare payments

Poudre Valley Hospital reported 1,668 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 4.96 times what it was paid — among the lower ratios in Colorado, number 26 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: 225 stays at an average charge of $76,447, 15% below the national average. It also billed 3,947 outpatient services, charging 7.59 times what Medicare paid.

1Medicare inpatient stays 1,668
2Charge ÷ paid, inpatient 4.96×
3Rank in CO (highest ratio = 1) 26 of 37
4CMS price-transparency actions 0

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

Inpatient stays

For the 60 DRGs that can be compared with the national average, Poudre Valley Hospital charged more than the national average in 10 (17%). 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	225	$76,447	-15%	$15,898
291 Heart Failure and Shock with MCC	108	$49,813	-12%	$10,525
193 Simple Pneumonia and Pleurisy with MCC	77	$50,284	-16%	$11,203
177 Respiratory Infections and Inflammations with MCC	64	$61,712	-13%	$13,273
378 Gastrointestinal Hemorrhage with CC	43	$44,995	-7%	$8,553
322 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$97,615	-15%	$19,737
481 Hip and Femur Procedures except Major Joint with CC	40	$71,437	-29%	$16,261
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	39	$40,182	-28%	$8,814
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	36	$59,278	-12%	$11,182
690 Kidney and Urinary Tract Infections without MCC	35	$36,038	-5%	$6,663
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	34	$41,590	-15%	$8,454
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$74,597	+24%	$11,712
194 Simple Pneumonia and Pleurisy with CC	31	$38,709	+1%	$6,924
467 Revision of Hip or Knee Replacement with CC	30	$124,405	-21%	$26,210
483 Major Joint or Limb Reattachment Procedures of Upper...	30	$99,262	-21%	$19,769
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$56,150	-24%	$13,117
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	29	$34,925	-13%	$8,903
189 Pulmonary Edema and Respiratory Failure	28	$65,158	+13%	$10,930
470 Major Hip and Knee Joint Replacement or Reattachment of...	27	$101,736	+9%	$14,998
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	26	$112,246	+10%	$16,654
683 Renal Failure with CC	26	$36,380	-11%	$7,453
689 Kidney and Urinary Tract Infections with MCC	25	$42,220	-18%	$9,644
853 Infectious and Parasitic Diseases with O.R. Procedures with...	25	$136,613	-40%	$34,756
321 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$132,514	-19%	$22,886
603 Cellulitis without MCC	24	$35,129	-6%	$7,271
280 Acute Myocardial Infarction, Discharged Alive with MCC	23	$60,021	-21%	$11,679
377 Gastrointestinal Hemorrhage with MCC	23	$80,219	-6%	$14,721
468 Revision of Hip or Knee Replacement without CC/MCC	22	$77,710	-37%	$20,829
281 Acute Myocardial Infarction, Discharged Alive with CC	21	$45,553	-10%	$7,614
389 Gastrointestinal Obstruction with CC	21	$26,636	-32%	$6,674
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$58,098	-11%	$12,812
308 Cardiac Arrhythmia and Conduction Disorders with MCC	20	$56,366	0%	$9,962
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$56,293	-8%	$11,900
178 Respiratory Infections and Inflammations with CC	19	$41,720	-8%	$8,272
552 Medical Back Problems without MCC	19	$36,877	-25%	$7,726
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$34,174	-8%	$6,694
699 Other Kidney and Urinary Tract Diagnoses with CC	18	$45,612	-4%	$8,477
314 Other Circulatory System Diagnoses with MCC	17	$81,172	-14%	$19,973
329 Major Small and Large Bowel Procedures with MCC	17	$243,609	+13%	$43,100
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	15	$58,359	-42%	$16,309
330 Major Small and Large Bowel Procedures with CC	15	$121,246	+2%	$17,607
390 Gastrointestinal Obstruction without CC/MCC	15	$25,819	-8%	$4,942
445 Disorders of The Biliary Tract with CC	15	$47,434	-18%	$8,991
164 Major Chest Procedures with CC	14	$103,839	-18%	$19,997
312 Syncope and Collapse	14	$44,703	-2%	$7,283
919 Complications of Treatment with MCC	13	$47,086	-47%	$14,587
190 Chronic Obstructive Pulmonary Disease with MCC	12	$33,385	-34%	$9,838
243 Permanent Cardiac Pacemaker Implant with CC	12	$96,334	-13%	$17,540
292 Heart Failure and Shock with CC	12	$50,168	+29%	$7,290
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$134,375	-1%	$22,844
638 Diabetes with CC	12	$40,830	-2%	$7,431
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...	12	$53,664	-31%	$13,651
071 Other Cerebrovascular Disorders with CC	11	$42,213	-16%	$8,434
100 Seizures with MCC	11	$101,382	+7%	$18,107
101 Seizures without MCC	11	$45,728	-6%	$7,544
286 Circulatory Disorders except AMI, with Cardiac...	11	$74,956	-33%	$15,956
331 Major Small and Large Bowel Procedures without CC/MCC	11	$68,495	-20%	$13,366
418 Laparoscopic Cholecystectomy without C.D.E. with CC	11	$61,779	-34%	$13,174
543 Pathological Fractures and Musculoskeletal and Connective...	11	$75,479	+54%	$8,728
840 Lymphoma and Non-Acute Leukemia with MCC	11	$120,453	-23%	$28,950

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	822	$23,262	$2,586
Level 5 Musculoskeletal Procedures	485	$87,031	$12,398
Level 2 Excision/ Biopsy/ Incision and Drainage	332	$10,354	$1,529
Level 2 Upper GI Procedures	232	$11,034	$1,805
Level 6 Musculoskeletal Procedures	222	$70,905	$17,484
Level 1 Laparoscopy and Related Services	153	$41,566	$5,493
Level 4 Musculoskeletal Procedures	150	$42,511	$6,704
Level 3 Electrophysiologic Procedures	130	$132,794	$22,550
Level 3 Musculoskeletal Procedures	124	$26,889	$3,062
Level 3 Vascular Procedures	106	$22,072	$3,034
Level 3 Excision/ Biopsy/ Incision and Drainage	101	$17,292	$2,643
Level 4 Airway Endoscopy	83	$31,537	$3,531
Level 1 Endovascular Procedures	81	$24,181	$3,079
Level 2 Endovascular Procedures	72	$26,970	$5,441
Level 5 ENT Procedures	62	$43,092	$5,575
Level 2 Vascular Procedures	58	$11,039	$1,525
Level 3 Urology and Related Services	58	$19,269	$1,939
Level 2 Laparoscopy and Related Services	55	$61,493	$9,792
Level 3 Pacemaker and Similar Procedures	52	$56,408	$10,156
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	45	$37,674	$3,293
Level 3 Endovascular Procedures	44	$73,241	$10,463
Level 4 Urology and Related Services	43	$27,021	$3,319
Level 1 Nerve Procedures	41	$15,994	$1,838
Level 5 Urology and Related Services	40	$34,644	$4,828
Level 2 Musculoskeletal Procedures	39	$11,390	$1,530

Against the Colorado average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Poudre Valley Hospital charged $76,447 on average, 32% less than the Colorado average of $113,091, and was paid $15,898 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Poudre Valley Hospital charged $49,813 on average, 30% less than the Colorado average of $71,240, and was paid $10,525 against a state average of $11,134. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Poudre Valley Hospital charged $50,284 on average, 27% less than the Colorado average of $68,465, and was paid $11,203 against a state average of $11,488. For Respiratory Infections and Inflammations with MCC (DRG 177), Poudre Valley Hospital charged $61,712 on average, 29% less than the Colorado average of $86,428, and was paid $13,273 against a state average of $13,957. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,262 was 32% below the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $87,031 was 3% below the state average of $89,547. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,354 was 26% below the state average of $13,898. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,034 was 25% below 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.