Why is the price range for Chronic Obstructive Pulmonary Disease With MCC so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 1.6× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

What does MS-DRG 190 mean?

MS-DRG 190 is the MS-DRG (Medicare Severity Diagnosis-Related Group) code for Chronic Obstructive Pulmonary Disease With MCC. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Chronic Obstructive Pulmonary Disease With MCC

MS-DRG 19043 Colorado hospitals reporting

Inpatient admission for COPD exacerbation with major complication or comorbidity — common in adults 65+ with smoking history.

Typical insured price · Colorado

$10,872to$16,921

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $12,743.

$10,872$16,921

Cash price (median)

$14,295

What you'd pay self-pay

Gross charge (median)

$25,925

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 43 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: MS-DRG 190
Code system: MS-DRG (Medicare Severity Diagnosis-Related Group)
Typical setting: an inpatient setting
Hospitals reporting: 43

How they price Chronic Obstructive Pulmonary Disease With MCC

Across 43 Colorado hospitals that publish a commercial negotiated rate for MS-DRG 190, the typical insured price for Chronic Obstructive Pulmonary Disease With MCC runs $10,872 to $16,921 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $12,743 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $14,295, against a median gross charge of $25,925.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

· Inpatient stays are bundled by MS-DRG — facility costs, professional fees, and most ancillary services land in a single payment that varies more by hospital than by procedure.
· In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
· Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
· Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

43 hospitals

Pin a plan

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Position · Median	Negotiated band	Cash	Payers
Grand River Health Rifle Median negotiated $4,823 25th–75th $4,611 – $6,488 Cash — Payers 3	$4,823	$4,611 – $6,488	—	3
San Luis Valley Health Conejos County Hospital Median negotiated $7,123 25th–75th $7,123 – $10,964 Cash — Payers 3	$7,123	$7,123 – $10,964	—	3
Commonspirit St Francis Hospital Median negotiated $9,240 25th–75th $9,240 – $15,149 Cash — Payers 11	$9,240	$9,240 – $15,149	—	11
Hca Healthone Rose Medical Center Median negotiated $9,550 25th–75th $6,941 – $9,741 Cash — Payers 22	$9,550	$6,941 – $9,741	—	22
Community Hospital Grand Junction Median negotiated $9,705 25th–75th $9,705 – $10,336 Cash — Payers 7	$9,705	$9,705 – $10,336	—	7
Hca Healthone Swedish Medical Center Median negotiated $9,984 25th–75th $6,774 – $9,984 Cash — Payers 21	$9,984	$6,774 – $9,984	—	21
Hca Healthone Sky Ridge Medical Center Median negotiated $9,994 25th–75th $8,291 – $10,219 Cash — Payers 20	$9,994	$8,291 – $10,219	—	20
Hca Healthone Presbyterian St Luke S Medical Center Median negotiated $10,143 25th–75th $9,157 – $10,447 Cash — Payers 23	$10,143	$9,157 – $10,447	—	23
Hca Healthone Aurora Medical Center of Aurora Median negotiated $10,483 25th–75th $6,774 – $10,483 Cash — Payers 21	$10,483	$6,774 – $10,483	—	21
Commonspirit Longmont United Hospital Median negotiated $10,813 25th–75th $10,813 – $14,094 Cash — Payers 12	$10,813	$10,813 – $14,094	—	12
Commonspirit Orthocolorado Hospital Median negotiated $10,821 25th–75th $8,424 – $17,097 Cash — Payers 12	$10,821	$8,424 – $17,097	—	12
Banner Fort Collins Medical Center Median negotiated $10,922 25th–75th $10,402 – $23,404 Cash $12,522 Payers 16	$10,922	$10,402 – $23,404	$12,522	16
Commonspirit Mercy Hospital Durango Median negotiated $11,130 25th–75th $11,130 – $11,130 Cash — Payers 11	$11,130	$11,130 – $11,130	—	11
Commonspirit St Elizabeth Hospital Fort Morgan Median negotiated $11,155 25th–75th $11,155 – $11,155 Cash — Payers 8	$11,155	$11,155 – $11,155	—	8
Hca Healthone Mountain Ridge Thornton Median negotiated $11,382 25th–75th $6,425 – $11,382 Cash — Payers 23	$11,382	$6,425 – $11,382	—	23
Commonspirit St Anthony North Hospital Median negotiated $11,442 25th–75th $11,442 – $14,556 Cash — Payers 13	$11,442	$11,442 – $14,556	—	13
Valley View Hospital Glenwood Springs Median negotiated $11,695 25th–75th $11,695 – $11,695 Cash — Payers 3	$11,695	$11,695 – $11,695	—	3
Uchealth Grandview Hospital Colorado Springs Median negotiated $12,374 25th–75th $10,203 – $17,744 Cash — Payers 8	$12,374	$10,203 – $17,744	—	8
Commonspirit St Mary Corwin Hospital Pueblo Median negotiated $12,651 25th–75th $12,651 – $12,651 Cash — Payers 10	$12,651	$12,651 – $12,651	—	10
Banner North Colorado Medical Center Median negotiated $12,670 25th–75th $10,558 – $25,340 Cash $14,124 Payers 15	$12,670	$10,558 – $25,340	$14,124	15
Pikes Peak Regional Hospital Woodland Park Median negotiated $12,688 25th–75th $12,150 – $13,345 Cash — Payers 3	$12,688	$12,150 – $13,345	—	3
Commonspirit St Anthony Hospital Lakewood Median negotiated $12,743 25th–75th $9,792 – $14,858 Cash — Payers 9	$12,743	$9,792 – $14,858	—	9
Sterling Regional Medcenter Median negotiated $13,445 25th–75th $13,445 – $14,050 Cash $14,295 Payers 11	$13,445	$13,445 – $14,050	$14,295	11
Uchealth Yampa Valley Medical Center Steamboat Springs Median negotiated $13,508 25th–75th $13,508 – $13,508 Cash — Payers 8	$13,508	$13,508 – $13,508	—	8
Uchealth Medical Center of the Rockies Loveland Median negotiated $14,745 25th–75th $9,013 – $26,848 Cash — Payers 8	$14,745	$9,013 – $26,848	—	8
Uchealth Highlands Ranch Hospital Median negotiated $15,171 25th–75th $8,921 – $20,242 Cash — Payers 8	$15,171	$8,921 – $20,242	—	8
Uchealth Memorial Hospital North Colorado Springs Median negotiated $15,355 25th–75th $9,753 – $23,149 Cash — Payers 9	$15,355	$9,753 – $23,149	—	9
Uchealth Memorial Hospital Central Colorado Springs Median negotiated $15,355 25th–75th $9,753 – $23,149 Cash — Payers 9	$15,355	$9,753 – $23,149	—	9
Uchealth Poudre Valley Hospital Fort Collins Median negotiated $15,886 25th–75th $10,292 – $26,848 Cash — Payers 8	$15,886	$10,292 – $26,848	—	8
Boulder Community Health Foothills Hospital Median negotiated $15,974 25th–75th $9,244 – $22,918 Cash — Payers 12	$15,974	$9,244 – $22,918	—	12
Uchealth University of Colorado Hospital Aurora Median negotiated $16,250 25th–75th $13,984 – $24,467 Cash — Payers 11	$16,250	$13,984 – $24,467	—	11
Uchealth Longs Peak Hospital Longmont Median negotiated $16,358 25th–75th $9,590 – $20,774 Cash — Payers 9	$16,358	$9,590 – $20,774	—	9
Rangely District Hospital Gross charge $18,404 Median negotiated $17,484 25th–75th $17,024 – $38,742 Cash $11,963 Payers 3	$17,484	$17,024 – $38,742	$11,963	3
Commonspirit St Francis Hospital Interquest Median negotiated $17,696 25th–75th $14,157 – $21,147 Cash — Payers 4	$17,696	$14,157 – $21,147	—	4
Commonspirit St Anthony Summit Medical Center Median negotiated $18,585 25th–75th $18,585 – $21,285 Cash — Payers 9	$18,585	$18,585 – $21,285	—	9
Uchealth Greeley Hospital Median negotiated $18,648 25th–75th $9,670 – $26,704 Cash — Payers 8	$18,648	$9,670 – $26,704	—	8
Uchealth Parkview Medical Center Pueblo Median negotiated $18,788 25th–75th $10,309 – $22,106 Cash — Payers 7	$18,788	$10,309 – $22,106	—	7
Spanish Peaks Regional Health Center Walsenburg Gross charge $23,967 Median negotiated $22,289 25th–75th $21,570 – $23,925 Cash $21,570 Payers 13	$22,289	$21,570 – $23,925	$21,570	13
Denver Health Medical Center Median negotiated $24,556 25th–75th $23,816 – $31,241 Cash — Payers 5	$24,556	$23,816 – $31,241	—	5
Heart of the Rockies Regional Medical Center Salida Gross charge $27,884 Median negotiated $26,490 25th–75th $21,960 – $26,490 Cash $23,701 Payers 10	$26,490	$21,960 – $26,490	$23,701	10
Children S Hospital Colorado Colorado Springs Median negotiated $28,820 25th–75th $25,263 – $36,650 Cash — Payers 5	$28,820	$25,263 – $36,650	—	5
Commonspirit St Thomas More Hospital Ca on City Median negotiated $34,064 25th–75th $27,006 – $53,356 Cash — Payers 3	$34,064	$27,006 – $53,356	—	3
Montrose Regional Health Gross charge $55,278 Median negotiated $52,514 25th–75th $48,368 – $52,514 Cash $41,458 Payers 13	$52,514	$48,368 – $52,514	$41,458	13

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for Chronic Obstructive Pulmonary Disease With MCC in Colorado?: Across 43 Colorado hospitals reporting a commercial negotiated rate for MS-DRG 190, the 25th-to-75th percentile band runs $10,872 to $16,921 per hospital median. The 50th-percentile (Colorado median) is $12,743.
Why is the price range for Chronic Obstructive Pulmonary Disease With MCC so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 1.6× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
What's the cash price for Chronic Obstructive Pulmonary Disease With MCC if I don't have insurance?: The median discounted cash price across reporting Colorado hospitals is $14,295. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
What does MS-DRG 190 mean?: MS-DRG 190 is the MS-DRG (Medicare Severity Diagnosis-Related Group) code for Chronic Obstructive Pulmonary Disease With MCC. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.