75/100
#503 nationally
Vail Health Hospital
181 W Meadow Dr, Vail, CO 81657 · (970) 476-2451
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Vail Health Hospital billed $3.69 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 23
- inpatient and outpatient combined
- Rank in CO
- #2
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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.
Better than 89% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 62% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
492 | $51,005 | $13,349 | -18% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
263 | $74,501 | $18,956 | -10% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
142 | $40,189 | $7,253 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
76 | $16,791 | $2,761 | -14% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
72 | $29,513 | $5,883 | -16% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
57 | $26,991 | $3,300 | +32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
41 | $7,538 | $1,653 | -25% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
39 | $17,678 | $5,276 | -36% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
33 | $22,205 | $3,328 | -12% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
28 | $70,758 | $24,149 | -47% |
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 |
|---|---|---|---|
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$26,991 | $3,300 | +32% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$211,059 | $84,869 | +19% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$20,716 | $2,897 | +17% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$45,662 | $6,648 | +16% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$26,442 | $3,886 | +11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$19,780 | $3,250 | +4% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$13,181 | $1,972 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$40,189 | $7,253 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$70,758 | $24,149 | -47% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$42,767 | $11,203 | -37% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,678 | $5,276 | -36% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$72,634 | $44,449 | -33% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$7,542 | $1,639 | -33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$46,631 | $33,013 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,538 | $1,653 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$16,436 | $3,450 | -20% |
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.