Adventhealth Littleton

AdventHealth Littleton in Littleton, Colorado charges 9.1x the Medicare reimbursement rate across 46 analyzed procedures at this nonprofit-religious hospital.

Littleton, CO 80122 · Acute Care Hospitals · CMS Rating: 4/5

By Michael Glenn , Healthcare Data Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

46 procedures analyzed

CMS price transparency data

Updated 2026-04-03

9.1x

Medicare markup ratio

CO lowestAdventhealth LittletonCO highest

9.1x

Avg markup ratio

9.0x

Median markup

Procedures

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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

Very high

Avg markup vs Medicare

9.11x

Charge / Medicare rate

Max markup

13.45x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

Procedure	Code	Gross charge	Cash price	Medicare	Markup
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$63,456	$31,728	—	13.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$80,303	$40,152	—	13.4x
SYNCOPE AND COLLAPSE	312	$64,992	$32,496	—	13x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$93,634	$46,817	—	12.3x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$53,134	$26,567	—	11.7x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$62,487	$31,244	—	11.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$45,844	$22,922	—	11.2x
GASTROINTESTINAL OBSTRUCTION WITH CC	389	$52,170	$26,085	—	11x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$61,039	$30,519	—	10.6x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$75,894	$37,947	—	10.4x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$55,016	$27,508	—	10.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$132,789	$66,394	—	10.1x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	394	$58,638	$29,319	—	10x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$59,754	$29,877	—	9.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	178	$65,836	$32,918	—	9.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	064	$103,540	$51,770	—	9.4x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$76,233	$38,116	—	9.3x
COAGULATION DISORDERS	813	$109,408	$54,704	—	9.3x
SEIZURES WITHOUT MCC	101	$43,889	$21,945	—	9.2x
RENAL FAILURE WITH CC	683	$50,197	$25,098	—	9.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O	246	$183,816	$91,908	—	9.1x
HEART FAILURE AND SHOCK WITH MCC	291	$73,882	$36,941	—	9.1x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$115,825	$57,913	—	9x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	391	$66,323	$33,161	—	8.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$110,165	$55,083	—	8.5x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$68,077	$34,038	—	8.5x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$100,920	$50,460	—	8.4x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$83,210	$41,605	—	8.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$57,172	$28,586	—	8.3x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$52,122	$26,061	—	8.2x
GASTROINTESTINAL HEMORRHAGE WITH MCC	377	$83,408	$41,704	—	8.1x
ENDOCRINE DISORDERS WITH CC	644	$51,556	$25,778	—	8x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	660	$65,411	$32,705	—	7.9x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC	454	$297,534	$148,767	—	7.9x
RENAL FAILURE WITH MCC	682	$74,158	$37,079	—	7.7x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$66,356	$33,178	—	7.7x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	286	$101,368	$50,684	—	7.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	329	$248,133	$124,066	—	7.6x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC	455	$266,205	$133,103	—	7.6x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	516	$99,033	$49,516	—	7.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	871	$92,590	$46,295	—	7.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$192,281	$96,141	—	6.9x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	314	$87,252	$43,626	—	6.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	177	$77,270	$38,635	—	6.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	853	$209,053	$104,526	—	6.6x
MAJOR CHEST PROCEDURES WITH MCC	163	$169,861	$84,930	—	5.9x

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?

Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.

What does a 5.4x Medicare markup mean for my medical bills?

A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.

Are nonprofit religious hospitals required to offer financial assistance?

Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.

How can I find out the actual charges at a specific nonprofit religious hospital?

Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

CO hospital rankingsCompare all hospitals in CO

Littleton, CO costsCity-level pricing data

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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use