HCA HEALTHONE PRESBYTERIAN ST LUKES
DENVER, CO 80218 · Acute Care Hospitals
29 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
29
With CMS pricing data
Avg Charge-to-Medicare Ratio
16.6x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Government - State
Above 90th Percentile
93%
Compared to CO hospitals
Understanding Your Costs
When you receive a bill from HCA HEALTHONE PRESBYTERIAN ST LUKES, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, HCA HEALTHONE PRESBYTERIAN ST LUKES lists chargemaster rates that average 16.6x the corresponding Medicare reimbursement amount across 29 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CO has a chargemaster-to-Medicare ratio of 7.0x, with ratios across the state ranging from 1.1x to 17.1x. At 16.6x, this facility’s average ratio is above the state median. 48 hospitals in CO report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at HCA HEALTHONE PRESBYTERIAN ST LUKES is HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC (DRG 355). The listed chargemaster rate is $281,307, while Medicare reimburses $9,307 for the same procedure — a ratio of 30.2x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
27 of 29 procedures (93%) at this facility have listed rates above the 90th percentile compared to other CO hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
HCA HEALTHONE PRESBYTERIAN ST LUKES is a government - state acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $281,307 | $9,307 | 30.2x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $742,958 | $26,532 | 28.0x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $234,389 | $10,757 | 21.8x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $371,077 | $18,388 | 20.2x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $331,584 | $16,535 | 20.1x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $273,104 | $13,743 | 19.9x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $232,631 | $11,876 | 19.6x | 1th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $302,814 | $15,885 | 19.1x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $148,856 | $8,124 | 18.3x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $282,436 | $16,060 | 17.6x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $176,348 | $10,192 | 17.3x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $176,514 | $11,044 | 16.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $99,967 | $6,270 | 15.9x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $641,755 | $41,575 | 15.4x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $269,237 | $17,582 | 15.3x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $797,338 | $52,658 | 15.1x | 1th | Compare your bill |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $140,600 | $9,301 | 15.1x | 1th | Compare your bill |
| ACUTE LEUKEMIA WITH MCC | 834 | $1,118,819 | $74,142 | 15.1x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $368,499 | $25,181 | 14.6x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $463,587 | $32,166 | 14.4x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $131,551 | $9,220 | 14.3x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $413,548 | $29,497 | 14.0x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $1,297,310 | $95,856 | 13.5x | 1th | Compare your bill |
| AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | 016 | $590,728 | $44,501 | 13.3x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $110,175 | $8,603 | 12.8x | 1th | Compare your bill |
| CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY A | 837 | $543,512 | $46,139 | 11.8x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $123,302 | $10,757 | 11.5x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $125,434 | $11,885 | 10.6x | 1th | Compare your bill |
| ALLOGENEIC BONE MARROW TRANSPLANT | 014 | $891,829 | $84,868 | 10.5x | 1th | Compare your bill |
Showing 29 of 29 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CO hospitals
48 hospitals in CO report pricing data to CMS. This facility's average ratio of 16.6x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About HCA HEALTHONE PRESBYTERIAN ST LUKES
How much does HCA HEALTHONE PRESBYTERIAN ST LUKES charge compared to Medicare?
According to CMS IPPS data, HCA HEALTHONE PRESBYTERIAN ST LUKES's listed chargemaster rates average 16.6x the Medicare reimbursement amount across 29 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at HCA HEALTHONE PRESBYTERIAN ST LUKES?
The procedure with the highest chargemaster-to-Medicare ratio at HCA HEALTHONE PRESBYTERIAN ST LUKES is HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC (DRG 355), with a listed charge of $281,307 compared to Medicare reimbursement of $9,307 — a ratio of 30.2x. Source: CMS IPPS Provider Summary.
Is HCA HEALTHONE PRESBYTERIAN ST LUKES expensive compared to other CO hospitals?
HCA HEALTHONE PRESBYTERIAN ST LUKES's average chargemaster-to-Medicare ratio is 16.6x. Ratios vary significantly across CO hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for HCA HEALTHONE PRESBYTERIAN ST LUKES come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from HCA HEALTHONE PRESBYTERIAN ST LUKES is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does HCA HEALTHONE PRESBYTERIAN ST LUKES in DENVER, CO accept Medicare?
HCA HEALTHONE PRESBYTERIAN ST LUKES is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact HCA HEALTHONE PRESBYTERIAN ST LUKES directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.