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Pneumonia (hospital stay) in Colorado: what insurers pay

Posted commercial rates at 15 Colorado hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Hca Healthone Rose Denver$7,1761.2×52026-09-01
HCA HealthONE Sky Ridge Lone Tree$7,2281.2×52026-09-01
HCA HealthONE Swedish Englewood$7,5231.2×52026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$8,1371.3×42026-09-01
Uchealth Broomfield Hospital Broomfield$11,9422.0×42025-11-01
Adventhealth Porter Denver$14,2832.4×22026-04-01
Adventhealth Parker Parker$14,2832.4×22026-04-01
Adventhealth Littleton Littleton$14,2832.4×22026-04-01
Adventhealth Castle Rock Castle Rock$14,2832.4×22026-04-01
Uchealth Highlands Ranch Hospital Highlands Ranch$15,7562.6×42025-11-01
Lutheran Medical Center Wheat Ridge$16,0502.6×62026-03-22
Intermountain Health Saint Joseph Hospital Denver$16,0502.6×62026-03-22
UCHealth University of Colorado Hospital Aurora$16,9632.8×62025-11-01
Intermountain Health Platte Valley Hospital Brighton$17,8442.9×62026-03-22
Denver Health Medical Center Denver$21,3203.5×22026-04-30

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Hca Healthone Rose Denver$8,8300.9×52026-09-01
HCA HealthONE Sky Ridge Lone Tree$11,4171.1×52026-09-01
HCA HealthONE Swedish Englewood$11,6851.2×52026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$12,2071.2×52026-09-01
Adventhealth Porter Denver$23,2952.4×22026-04-01
Adventhealth Parker Parker$23,2952.4×22026-04-01
UCHealth University of Colorado Hospital Aurora$27,6672.8×62025-11-01

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
HCA HealthONE Sky Ridge Lone Tree$5,7671.2×52026-09-01
Hca Healthone Rose Denver$6,0001.3×52026-09-01
HCA HealthONE Swedish Englewood$6,0711.3×52026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$6,9221.5×42026-09-01
Adventhealth Porter Denver$11,1392.4×22026-04-01
Adventhealth Parker Parker$11,1392.4×22026-04-01
UCHealth University of Colorado Hospital Aurora$13,2292.8×62025-11-01

Questions

How much do insurers pay for pneumonia (hospital stay) in Colorado?

15 Colorado hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 15 hospitals is $14,283, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.