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Poudre Valley Hospital: what a joint replacement costs

Fort Collins, CO 80524 · CMS Certification Number 060010. 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
$8,932
Ocr Fort Collins Surgery Center, 8.3 mi
Outpatient here
$12,398
Medicare allowed amount, 485 cases, APC 5115
Inpatient here
$14,998
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at Poudre Valley Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,998$101,7366.8×$12,398
Shoulder replacement$19,769$99,2625.0×$17,484
Hip replacement after a fracture (DRG 522)$16,654$112,2466.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$44,8443.0×$42,146–$47,5422
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$47,5423.2×1
Elevance/Anthem/Empire$42,1462.8×1

From the hospital's price-transparency file (2025-11-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-11-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 255 beds

Colorado has no certificate-of-need law.

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Questions

How much does Medicare pay Poudre Valley Hospital for a knee or hip replacement?

In 2024 the average total payment to Poudre Valley Hospital for an inpatient hip or knee replacement stay was $14,998 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,398 per outpatient case (APC 5115, 485 cases).

What is Poudre Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $101,736, 6.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Poudre Valley Hospital?

Yes for Medicare facility payments. Ocr Fort Collins Surgery Center, an orthopedic surgery center 8.3 mi away, is paid about $8,932 by Medicare for a knee replacement (CPT 27447), $6,066 less than an inpatient stay at Poudre Valley Hospital. Not every patient is a surgery-center candidate.

How does Poudre Valley Hospital compare with other Colorado hospitals?

Poudre Valley Hospital's average total payment per Medicare stay is lower than 59% of the 17 Colorado hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Poudre Valley Hospital 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 $44,844 across 2 insurers, ranging from $42,146 to $47,542.