Hca-healthone Dba Swedish Medical Center
HCA-HealthOne DBA Swedish Medical Center in Englewood, Colorado charges 17.1x the Medicare reimbursement rate across 79 analyzed procedures, with 95% showing significant price variations.
Englewood, CO 80113 · Acute Care Hospitals · CMS Rating: 4/5
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.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
17.12x
Charge / Medicare rate
Max markup
29.14x
Worst procedure
Procedures analyzed
79
With pricing data
Outlier procedures
94.9%
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 |
|---|---|---|---|---|---|
| PNEUMOTHORAX WITH CC | 200 | $184,216 | $92,108 | — | 29.1x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $206,778 | $103,389 | — | 26.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $572,206 | $286,103 | — | 25.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $256,251 | $128,125 | — | 23.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $389,266 | $194,633 | — | 23.1x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $275,581 | $137,791 | — | 23.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $287,210 | $143,605 | — | 22.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $106,409 | $53,205 | — | 22.5x |
| SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | 029 | $570,515 | $285,257 | — | 22.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $515,018 | $257,509 | — | 22.5x |
| SEIZURES WITHOUT MCC | 101 | $113,191 | $56,596 | — | 22.4x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $184,522 | $92,261 | — | 21.3x |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $2,216,180 | $1,108,090 | — | 21x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $299,374 | $149,687 | — | 21x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $261,858 | $130,929 | — | 20.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $129,345 | $64,672 | — | 19.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $81,932 | $40,966 | — | 19.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $94,085 | $47,043 | — | 18.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $97,207 | $48,603 | — | 18.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $250,393 | $125,197 | — | 18.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $94,145 | $47,073 | — | 18.5x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $132,528 | $66,264 | — | 18.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $222,550 | $111,275 | — | 18.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $347,810 | $173,905 | — | 18.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $252,691 | $126,345 | — | 18.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $435,717 | $217,859 | — | 18x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $445,614 | $222,807 | — | 17.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $342,835 | $171,417 | — | 17.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $576,043 | $288,022 | — | 17.5x |
| SEIZURES WITH MCC | 100 | $214,180 | $107,090 | — | 17.4x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $467,724 | $233,862 | — | 17.3x |
| UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | 737 | $221,787 | $110,894 | — | 17.3x |
| SPINAL PROCEDURES WITH MCC | 028 | $747,292 | $373,646 | — | 17.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $93,933 | $46,966 | — | 17.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $638,431 | $319,215 | — | 17.2x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $190,979 | $95,489 | — | 17.1x |
| RENAL FAILURE WITH CC | 683 | $103,525 | $51,762 | — | 17.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $227,266 | $113,633 | — | 17x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $108,296 | $54,148 | — | 17x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $161,465 | $80,732 | — | 17x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $114,621 | $57,311 | — | 16.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $88,343 | $44,171 | — | 16.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $231,828 | $115,914 | — | 16.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $125,157 | $62,579 | — | 16.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $85,538 | $42,769 | — | 16.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $585,845 | $292,922 | — | 16.1x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $667,322 | $333,661 | — | 16x |
| SYNCOPE AND COLLAPSE | 312 | $92,085 | $46,043 | — | 16x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $143,751 | $71,876 | — | 16x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $138,106 | $69,053 | — | 15.9x |
Showing 50 of 79 procedures
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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.
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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