facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Colorado: 15 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Colorado

What 15 hospitals in Colorado charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $149,674 Hospital list price billed
Average payment $17,350 Medicare + patient + other payers
Medicare paid $14,933 Average per stay
State rank #25 of 50 1 = lowest average payment

Hospitals in Colorado billed an average of $149,674 for hip replacement with principal diagnosis of hip fracture without major complications, about 8.6 times the average total payment of $17,350. That payment is 5% below the U.S. average of $18,301.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $17,350Billed $149,674

About 12¢ was paid for every $1 hospitals in Colorado billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Colorado:

Colorado hospitals: hip replacement with principal diagnosis of hip fracture without major complications

Every Colorado hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Memorial Hospital CentralColorado Springs 70 $143,497 $16,375 $14,184
Centura Health-Penrose St Francis Health ServicesColorado Springs 32 $115,512 $15,597 $14,072
Swedish Medical CenterEnglewood 31 $237,488 $16,346 $14,761
St Mary's Hospital and Medical CenterGrand Junction 28 $93,442 $18,206 $16,660
Medical Center of the RockiesLoveland 28 $112,865 $15,322 $13,865
Centura Health-St Anthony Central HospitalDenver 27 $115,760 $16,326 $14,810
Poudre Valley HospitalFort Collins 26 $112,246 $16,654 $15,014
University of Colorado Hospital Anschutz InpatientAurora 26 $148,108 $22,488 $18,807
Parkview Medical Center INCPueblo 25 $155,927 $16,661 $14,796
Centura Health-Littleton Adventist HospitalLittleton 21 $127,529 $15,005 $13,606
Exempla Lutheran Medical CenterWheat Ridge 17 $107,344 $16,767 $13,290
Sky Ridge Medical CenterLone Tree 17 $315,074 $26,175 $14,837
Medical Center of Aurora, theAurora 16 $271,639 $18,334 $14,837
Mercy Medical CenterDurango 13 $111,808 $20,283 $18,651
Boulder Community HospitalBoulder 12 $157,610 $15,080 $13,383
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Lowest and highest payments in Colorado

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Colorado?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 15 hospitals in Colorado was billed at $149,674 on average, while the average total payment was $17,350, of which Medicare paid $14,933. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Colorado, average charges were 8.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.