Intermountain Health St. Mary's Regional Hospital
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL in Grand Junction, Colorado charges 5.3x the Medicare reimbursement rate across 68 analyzed procedures at this nonprofit-religious facility.
Grand Junction, CO 81501 · 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 — 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
D
High
Avg markup vs Medicare
5.28x
Charge / Medicare rate
Max markup
8.94x
Worst procedure
Procedures analyzed
68
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $70,786 | $35,393 | — | 8.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $99,413 | $49,707 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,728 | $17,364 | — | 7.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,645 | $19,323 | — | 7.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $112,219 | $56,110 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $90,523 | $45,261 | — | 6.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $90,164 | $45,082 | — | 6.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $46,546 | $23,273 | — | 6.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $39,775 | $19,887 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,222 | $16,111 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,893 | $20,447 | — | 6.3x |
| SEIZURES WITH MCC | 100 | $100,582 | $50,291 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,512 | $20,256 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $63,989 | $31,994 | — | 6.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $71,284 | $35,642 | — | 6.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $50,609 | $25,305 | — | 6.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $162,162 | $81,081 | — | 6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $54,851 | $27,426 | — | 6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $222,050 | $111,025 | — | 5.9x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $246,188 | $123,094 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $54,141 | $27,071 | — | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $53,586 | $26,793 | — | 5.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $107,958 | $53,979 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $229,614 | $114,807 | — | 5.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $176,400 | $88,200 | — | 5.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $99,783 | $49,892 | — | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $96,305 | $48,152 | — | 5.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $96,860 | $48,430 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $72,064 | $36,032 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,832 | $13,416 | — | 5.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $51,175 | $25,588 | — | 5.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $97,387 | $48,693 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,562 | $18,781 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $60,824 | $30,412 | — | 5.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $92,372 | $46,186 | — | 5.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $117,910 | $58,955 | — | 5.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $80,088 | $40,044 | — | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $56,690 | $28,345 | — | 5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $59,208 | $29,604 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $78,137 | $39,069 | — | 5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,576 | $22,788 | — | 4.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,702 | $18,851 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $251,796 | $125,898 | — | 4.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,641 | $14,821 | — | 4.8x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $110,156 | $55,078 | — | 4.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $74,422 | $37,211 | — | 4.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $47,021 | $23,511 | — | 4.6x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $209,599 | $104,800 | — | 4.6x |
| CELLULITIS WITHOUT MCC | 603 | $29,146 | $14,573 | — | 4.6x |
| RENAL FAILURE WITH CC | 683 | $29,344 | $14,672 | — | 4.6x |
Showing 50 of 68 procedures
How INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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.
FAQ — nonprofit-religious hospital billing
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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