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San Luis Valley Health: what a joint replacement costs

Alamosa, CO 81101 · CMS Certification Number 060008. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,396
Medicare allowed amount, 15 cases, APC 5115
Inpatient here
$16,442
Avg total payment (incl. patient share), 25 Medicare stays, MS-DRG 470

Medicare prices at San Luis Valley Health

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,442$49,9303.0×$13,396
Shoulder replacement————

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 59 beds

Colorado has no certificate-of-need law.

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Questions

How much does Medicare pay San Luis Valley Health for a knee or hip replacement?

In 2024 the average total payment to San Luis Valley Health for an inpatient hip or knee replacement stay was $16,442 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,396 per outpatient case (APC 5115, 15 cases).

What is San Luis Valley Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,930, 3.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does San Luis Valley Health compare with other Colorado hospitals?

San Luis Valley Health's average total payment per Medicare stay is higher than 71% of the 17 Colorado hospitals that report inpatient hip or knee replacement.