facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Colorado: 17 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Colorado

What 17 hospitals in Colorado charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $151,836 Hospital list price billed
Average payment $15,835 Medicare + patient + other payers
Medicare paid $13,241 Average per stay
State rank #28 of 48 1 = lowest average payment

Hospitals in Colorado billed an average of $151,836 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 9.6 times the average total payment of $15,835. That payment is 9% below the U.S. average of $17,318.

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 $15,835Billed $151,836

About 10¢ 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: major hip and knee joint replacement or reattachment of lower extremity 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
Rose Medical CenterDenver 101 $196,216 $15,258 $12,581
Centura Health-Penrose St Francis Health ServicesColorado Springs 78 $87,967 $14,892 $12,476
Sky Ridge Medical CenterLone Tree 63 $241,461 $15,927 $14,083
Boulder Community HospitalBoulder 39 $117,350 $13,828 $12,182
Swedish Medical CenterEnglewood 29 $250,057 $15,130 $13,467
Poudre Valley HospitalFort Collins 27 $101,736 $14,998 $13,329
San Luis Valley Regional Medical CenterAlamosa 25 $49,930 $16,442 $14,875
Medical Center of Aurora, theAurora 25 $236,739 $16,153 $12,843
St Elizabeth HospitalFort Morgan 24 $75,692 $18,641 $17,077
University of Colorado Hospital Anschutz InpatientAurora 19 $146,997 $19,575 $16,772
St Francis Hospital - InterquestColorado Springs 17 $78,194 $14,491 $10,719
Centura Health-St Mary Corwin Medical CenterPueblo 14 $103,010 $19,176 $14,715
Uchealth Grandview HospitalColorado Springs 14 $103,766 $14,730 $13,331
Centura Health-Porter Adventist HospitalDenver 13 $89,612 $19,427 $10,844
Parker Adventist HospitalParker 13 $109,790 $14,174 $13,045
Presbyterian/St Luke's Medical CenterDenver 12 $273,060 $22,000 $11,505
Adventhealth Castle RockCastle Rock 12 $114,857 $14,018 $12,522
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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.

Lowest

Boulder Community HospitalBoulder, CO$13,828
Adventhealth Castle RockCastle Rock, CO$14,018
Parker Adventist HospitalParker, CO$14,174
St Francis Hospital - InterquestColorado Springs, CO$14,491
Uchealth Grandview HospitalColorado Springs, CO$14,730

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Colorado?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 17 hospitals in Colorado was billed at $151,836 on average, while the average total payment was $15,835, of which Medicare paid $13,241. 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 9.6 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.