Revision of hip or knee replacement without complications in Colorado
What 11 hospitals in Colorado charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$176,726
Hospital list price billed
Average payment
$24,142
Medicare + patient + other payers
Medicare paid
$20,528
Average per stay
State rank
#28 of 42
1 = lowest average payment
Hospitals in Colorado billed an average of $176,726 for revision of hip or knee replacement without complications, about 7.3 times the average total payment of $24,142. That payment is about the same as the U.S. average of $23,925.
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 $24,142Billed $176,726
About 14¢ was paid for every $1 hospitals in Colorado billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Colorado:
Colorado hospitals: revision of hip or knee replacement 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 |
|---|---|---|---|---|
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 38 | $132,237 | $22,776 | $17,443 |
| Sky Ridge Medical CenterLone Tree | 24 | $298,918 | $25,931 | $17,885 |
| Poudre Valley HospitalFort Collins | 22 | $77,710 | $20,829 | $19,298 |
| Rose Medical CenterDenver | 17 | $296,001 | $20,377 | $18,776 |
| University of Colorado Hospital Anschutz InpatientAurora | 16 | $129,584 | $25,917 | $23,637 |
| Centura Health-Porter Adventist HospitalDenver | 15 | $178,602 | $20,274 | $18,319 |
| Vail Valley Medical CenterVail | 15 | $72,634 | $44,449 | $42,817 |
| Presbyterian/St Luke's Medical CenterDenver | 12 | $418,511 | $22,520 | $20,536 |
| Community HospitalGrand Junction | 12 | $116,477 | $19,958 | $18,326 |
| Orthocolorado Hospital at St Anthony Med CampusDenver | 12 | $144,485 | $23,399 | $15,672 |
| Adventhealth Castle RockCastle Rock | 11 | $122,601 | $19,546 | $17,914 |
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
| Adventhealth Castle RockCastle Rock, CO | $19,546 |
|---|---|
| Community HospitalGrand Junction, CO | $19,958 |
| Centura Health-Porter Adventist HospitalDenver, CO | $20,274 |
| Rose Medical CenterDenver, CO | $20,377 |
| Poudre Valley HospitalFort Collins, CO | $20,829 |
Highest
| Vail Valley Medical CenterVail, CO | $44,449 |
|---|---|
| Sky Ridge Medical CenterLone Tree, CO | $25,931 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $25,917 |
| Orthocolorado Hospital at St Anthony Med CampusDenver, CO | $23,399 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $22,776 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Colorado?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 11 hospitals in Colorado was billed at $176,726 on average, while the average total payment was $24,142, of which Medicare paid $20,528. 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 7.3 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.