Colorado / St Anthony North Hospital
CMS certification 060104 · Westminster, CO
St Anthony North Hospital: charges and Medicare payments
St Anthony North Hospital reported 783 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 5.28 times what it was paid — mid-range in Colorado, number 24 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: 199 stays at an average charge of $91,524, 1% above the national average. It also billed 1,096 outpatient services, charging 8.94 times what Medicare paid.
- 1Medicare inpatient stays 783
- 2Charge ÷ paid, inpatient 5.28×
- 3Rank in CO (highest ratio = 1) 24 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 27 DRGs that can be compared with the national average, St Anthony North Hospital charged more than the national average in 21 (78%). 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 | 199 | $91,524 | +1% | $17,319 |
| 291 Heart Failure and Shock with MCC | 85 | $63,805 | +13% | $12,657 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $66,456 | +11% | $12,134 |
| 682 Renal Failure with MCC | 38 | $65,684 | 0% | $13,159 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $55,562 | +13% | $11,137 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $62,923 | -11% | $13,444 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $68,209 | +18% | $12,418 |
| 683 Renal Failure with CC | 24 | $48,836 | +20% | $8,537 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $69,216 | -6% | $15,596 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $44,190 | +10% | $7,846 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $121,864 | +6% | $16,347 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $98,394 | +15% | $17,216 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $51,618 | +6% | $9,543 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $69,265 | +15% | $12,050 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 17 | $56,392 | -13% | $15,382 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $53,150 | +43% | $9,599 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $44,002 | +22% | $7,165 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $47,639 | +26% | $9,263 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $108,839 | +44% | $16,855 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $211,302 | +34% | $43,073 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $61,847 | +9% | $12,512 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $62,034 | +2% | $11,936 |
| 603 Cellulitis without MCC | 14 | $36,706 | -2% | $8,692 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $248,157 | +8% | $39,615 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $65,911 | +18% | $9,435 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $52,490 | +4% | $10,376 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $79,996 | -16% | $22,165 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Anthony North Hospital charged $91,524 on average, 19% less than the Colorado average of $113,091, and was paid $17,319 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), St Anthony North Hospital charged $63,805 on average, 10% less than the Colorado average of $71,240, and was paid $12,657 against a state average of $11,134. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Anthony North Hospital charged $66,456 on average, 3% less than the Colorado average of $68,465, and was paid $12,134 against a state average of $11,488. For Renal Failure with MCC (DRG 682), St Anthony North Hospital charged $65,684 on average, 30% less than the Colorado average of $94,001, and was paid $13,159 against a state average of $12,901. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $40,484 was 19% above the state average of $34,074. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $74,425 was 17% below the state average of $89,547. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,817 was 8% below the state average of $13,898. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,822 was 49% 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.