CostGrade
D

29/100

#1,889 nationally

Adventhealth Avista

100 Health Park Dr, Louisville, CO 80027 · (303) 673-1000

Charges far above the national norm

For every $1 of care Medicare actually paid for here, Adventhealth Avista billed $6.92 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
6.9x
volume-weighted across all its priced work
Procedures priced
24
inpatient and outpatient combined
Rank in CO
#23
lower markup ranks higher
CMS quality stars
4/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 10.2/35

Better than 29% of U.S. hospitals.

Outpatient charge markup 7.5/25

Better than 30% of U.S. hospitals.

Price level vs national median 9.1/30

Better than 30% of U.S. hospitals.

Price consistency 2.6/10

Better than 26% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

125 $14,579 $2,218 +24%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

74 $82,411 $12,510 +32%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

69 $11,114 $1,838 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

59 $44,844 $2,571 +131%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

54 $52,002 $6,810 +30%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

42 $7,968 $1,811 -32%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

41 $42,474 $5,493 +21%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

38 $183,492 $17,701 +121%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

35 $12,260 $1,544 +22%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

30 $84,906 $15,102 +30%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

$44,844 $2,571 +131%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

$183,492 $17,701 +121%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

$42,609 $4,735 +42%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

$54,439 $5,917 +38%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

$240,330 $34,950 +36%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

$54,511 $7,194 +33%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

$82,411 $12,510 +32%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

$30,426 $3,180 +31%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 3 Breast/lymphatic Surgery and Related Procedures

APC 5093 · Hospital outpatient visit

$44,036 $8,970 -35%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

$7,968 $1,811 -32%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

$14,139 $1,720 -20%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

$11,114 $1,838 about average
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

$16,675 $2,673 about average
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

$24,626 $3,629 +3%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

$22,887 $3,319 +11%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

$30,925 $4,926 +13%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.