Knee procedures without principal diagnosis of infection without complications in Colorado
What 1 hospital in Colorado charged and were paid for a Medicare hospital stay for knee procedures without principal diagnosis of infection without complications (DRG 489), from 2024 Medicare claims.
Average charge
$49,090
Hospital list price billed
Average payment
$10,668
Medicare + patient + other payers
Medicare paid
$8,962
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Colorado billed an average of $49,090 for knee procedures without principal diagnosis of infection without complications, about 4.6 times the average total payment of $10,668. That payment is 12% below the U.S. average of $12,110.
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 $10,668Billed $49,090
About 22¢ 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: knee procedures without principal diagnosis of infection without 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 |
|---|---|---|---|---|
| St Mary's Hospital and Medical CenterGrand Junction | 11 | $49,090 | $10,668 | $8,962 |
Knee procedures without principal diagnosis of infection without complications in other states
Questions
How much does knee procedures without principal diagnosis of infection without complications cost in Colorado?
In 2024 Medicare data, a hospital stay for knee procedures without principal diagnosis of infection without complications (DRG 489) at 1 hospital in Colorado was billed at $49,090 on average, while the average total payment was $10,668, of which Medicare paid $8,962. 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 4.6 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.