Colorado / St Anthony Hospital
CMS certification 060015 · Lakewood, CO
St Anthony Hospital: charges and Medicare payments
St Anthony Hospital reported 1,987 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 6.77 times what it was paid — mid-range in Colorado, number 16 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: 302 stays at an average charge of $102,948, 14% above the national average. It also billed 1,769 outpatient services, charging 9.47 times what Medicare paid.
- 1Medicare inpatient stays 1,987
- 2Charge ÷ paid, inpatient 6.77×
- 3Rank in CO (highest ratio = 1) 16 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 69 DRGs that can be compared with the national average, St Anthony Hospital charged more than the national average in 55 (80%). 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 | 302 | $102,948 | +14% | $16,055 |
| 291 Heart Failure and Shock with MCC | 75 | $78,399 | +39% | $10,203 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 66 | $63,109 | +29% | $8,436 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 64 | $274,679 | +20% | $44,382 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 58 | $90,245 | +23% | $12,871 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $74,849 | +6% | $12,723 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 52 | $99,929 | 0% | $14,338 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 47 | $215,485 | -7% | $32,678 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 45 | $71,705 | +29% | $8,501 |
| 481 Hip and Femur Procedures except Major Joint with CC | 43 | $121,997 | +21% | $17,298 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 42 | $113,421 | -1% | $15,425 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $69,562 | +16% | $10,638 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $66,069 | +15% | $10,038 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 36 | $208,445 | +33% | $25,356 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $82,646 | +9% | $11,262 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 35 | $157,918 | -4% | $21,819 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $76,514 | +27% | $11,260 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $64,851 | +26% | $9,540 |
| 329 Major Small and Large Bowel Procedures with MCC | 30 | $253,984 | +18% | $37,934 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 27 | $66,838 | +3% | $12,342 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 27 | $76,644 | +35% | $9,579 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $115,760 | +13% | $16,326 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $45,440 | +26% | $6,259 |
| 330 Major Small and Large Bowel Procedures with CC | 26 | $113,057 | -5% | $21,549 |
| 813 Coagulation Disorders | 25 | $74,703 | -7% | $12,269 |
| 164 Major Chest Procedures with CC | 24 | $164,784 | +29% | $19,460 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 23 | $66,366 | +31% | $7,599 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $81,544 | -5% | $14,349 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $65,202 | +34% | $8,738 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 22 | $160,018 | +43% | $18,937 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $55,632 | +39% | $6,270 |
| 683 Renal Failure with CC | 22 | $45,881 | +13% | $8,332 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 21 | $175,262 | +26% | $21,544 |
| 552 Medical Back Problems without MCC | 21 | $70,844 | +45% | $7,711 |
| 682 Renal Failure with MCC | 21 | $66,919 | +1% | $11,256 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 18 | $551,630 | +38% | $72,060 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 18 | $362,638 | +27% | $48,740 |
| 389 Gastrointestinal Obstruction with CC | 18 | $41,583 | +7% | $6,684 |
| 919 Complications of Treatment with MCC | 18 | $87,965 | -1% | $14,795 |
| 070 Other Cerebrovascular Disorders with MCC | 17 | $97,455 | +28% | $13,109 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $150,448 | +11% | $25,475 |
| 472 Cervical Spinal Fusion with CC | 17 | $175,254 | +23% | $34,480 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 17 | $103,448 | -1% | $15,256 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $87,440 | -11% | $18,070 |
| 862 Postoperative and Post-Traumatic Infections with MCC | 17 | $81,867 | -2% | $16,069 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $102,355 | +8% | $15,307 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 16 | $124,828 | +23% | $18,826 |
| 603 Cellulitis without MCC | 16 | $50,768 | +36% | $7,304 |
| 163 Major Chest Procedures with MCC | 15 | $217,395 | +3% | $36,669 |
| 394 Other Digestive System Diagnoses with CC | 15 | $50,054 | +6% | $7,700 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 15 | $129,205 | +9% | $19,650 |
| 100 Seizures with MCC | 14 | $98,266 | +4% | $14,750 |
| 271 Other Major Cardiovascular Procedures with CC | 14 | $164,046 | -6% | $31,302 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 14 | $113,823 | +33% | $14,871 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $55,943 | +46% | $6,302 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 12 | $120,511 | +5% | $21,367 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 12 | $341,356 | +54% | $47,590 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 12 | $93,850 | +9% | $14,345 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $50,911 | +37% | $7,207 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 12 | $198,843 | -8% | $33,641 |
Showing the 60 most frequent of 69 DRGs.
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Anthony Hospital charged $102,948 on average, 9% less than the Colorado average of $113,091, and was paid $16,055 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), St Anthony Hospital charged $78,399 on average, 10% more than the Colorado average of $71,240, and was paid $10,203 against a state average of $11,134. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Anthony Hospital charged $63,109 on average, 2% less than the Colorado average of $64,370, and was paid $8,436 against a state average of $9,284. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), St Anthony Hospital charged $274,679 on average, 7% less than the Colorado average of $295,920, and was paid $44,382 against a state average of $43,647. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,185 was 0% below the state average of $34,074. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,580 was 2% below the state average of $13,898. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,803 was 0% below the state average of $32,669. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,828 was 23% below the state average of $15,378.
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.