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The Medical Center of Aurora & South Hospital

The Medical Center of Aurora & South Hospital in Aurora, Colorado charges 13.7x the Medicare reimbursement rate across 61 analyzed procedures, with 80% showing significant price variations.

Aurora, CO 80012 · Acute Care Hospitals · CMS Rating: 3/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

61 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 9.6x5.5x21.8x
13.7x
Medicare markup ratio
CO lowestThe Medical Center of ...CO highest
13.7x
Avg markup ratio
13.9x
Median markup
61
Procedures
80%
Outlier procedures
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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

13.65x

Charge / Medicare rate

Max markup

20.12x

Worst procedure

Procedures analyzed

61

With pricing data

Outlier procedures

80.3%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
CELLULITIS WITHOUT MCC603$100,929$50,46420.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$219,073$109,53617.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$249,782$124,89117.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$86,900$43,45017.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$96,494$48,24717.5x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$317,483$158,74217.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$79,976$39,98817.4x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$205,591$102,79517.3x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$413,944$206,97217.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$104,798$52,39916.6x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$635,183$317,59116.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$237,474$118,73716.3x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC085$188,277$94,13816.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$309,196$154,59816x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$599,135$299,56815.9x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$108,736$54,36815.8x
RED BLOOD CELL DISORDERS WITH MCC811$159,157$79,57915.6x
GASTROINTESTINAL OBSTRUCTION WITH CC389$75,015$37,50815.6x
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$197,475$98,73815.5x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$861,758$430,87915.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$507,477$253,73915.3x
SEIZURES WITHOUT MCC101$103,191$51,59515.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$182,203$91,10115x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$213,218$106,60914.9x
GASTROINTESTINAL HEMORRHAGE WITH CC378$97,073$48,53714.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$99,250$49,62514.6x
HEART FAILURE AND SHOCK WITH MCC291$133,904$66,95214.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$77,990$38,99514.4x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$153,246$76,62314.3x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$322,973$161,48614.1x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$77,477$38,73813.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$125,975$62,98713.8x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$237,399$118,69913.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$78,707$39,35313.5x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$104,020$52,01013.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$455,368$227,68413.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$251,913$125,95713x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$202,107$101,05413x
MEDICAL BACK PROBLEMS WITH MCC551$145,018$72,50912.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$109,174$54,58712.7x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$171,538$85,76912.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$110,077$55,03812.6x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$148,691$74,34612.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$124,144$62,07212.3x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$502,854$251,42712.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$106,748$53,37412x
RENAL FAILURE WITH CC683$73,803$36,90212x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$123,844$61,92211.6x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$406,800$203,40011.6x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$144,188$72,09411.5x

Showing 50 of 61 procedures

How THE MEDICAL CENTER OF AURORA & SOUTH 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.

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 — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

Related pricing data

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

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