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Lutheran Medical Center: what a joint replacement costs

Wheat Ridge, CO 80033 · CMS Certification Number 060009. 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
$8,995
Clear Creek Surgery Center LLC, same ZIP
Outpatient here
$12,510
Medicare allowed amount, 34 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Lutheran Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,510
Shoulder replacement———$17,701
Hip replacement after a fracture (DRG 522)$16,767$107,3446.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,444—$13,491–$44,29310
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$44,293—1
Preferred One$44,293—1
Elevance/Anthem/Empire$44,172—1
GEHA$43,052—1
UnitedHealthcare$41,811—1
Denv Hlth Med Plan$35,077—1
Kaiser Permanente$35,017—1
Cigna$34,480—1
Humana$29,219—1
Select Health$13,491—1

From the hospital's price-transparency file (2026-03-22); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-22); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 338 beds

Colorado has no certificate-of-need law.

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Questions

How much does Medicare pay Lutheran Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $12,510 per outpatient hip or knee replacement case (APC 5115, 34 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Lutheran Medical Center?

Yes for Medicare facility payments. Clear Creek Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,995 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Lutheran Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $38,444 across 10 insurers, ranging from $13,491 to $44,293.