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Hca Healthone Presbyterian St Lukes: what a joint replacement costs

Denver, CO 80218 · CMS Certification Number 060014. 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
Denver Surgery Center, same ZIP
Outpatient here
$12,510
Medicare allowed amount, 23 cases, APC 5115
Inpatient here
$22,000
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Hca Healthone Presbyterian St Lukes

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$22,000$273,06012.4×$12,510
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$25,4041.2×$11,808–$33,58610
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Rocky Mountain Health Plan$33,5861.5×1
Cigna$28,7431.3×1
UnitedHealthcare$27,9141.3×1
Wppa$26,6191.2×1
Kaiser Permanente$26,2371.2×1
Aetna$24,5701.1×1
Delaware Life Insurance$17,3680.8×1
Bright Health$16,8620.8×1
Rocky Mountain Health$16,8620.8×1
Elevance/Anthem/Empire$11,8080.5×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 680 beds

Colorado has no certificate-of-need law.

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Questions

How much does Medicare pay Hca Healthone Presbyterian St Lukes for a knee or hip replacement?

In 2024 the average total payment to Hca Healthone Presbyterian St Lukes for an inpatient hip or knee replacement stay was $22,000 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,510 per outpatient case (APC 5115, 23 cases).

What is Hca Healthone Presbyterian St Lukes's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $273,060, 12.4× 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 Hca Healthone Presbyterian St Lukes?

Yes for Medicare facility payments. Denver Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,995 by Medicare for a knee replacement (CPT 27447), $13,005 less than an inpatient stay at Hca Healthone Presbyterian St Lukes. Not every patient is a surgery-center candidate.

How does Hca Healthone Presbyterian St Lukes compare with other Colorado hospitals?

Hca Healthone Presbyterian St Lukes's average total payment per Medicare stay is higher than 100% of the 17 Colorado hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Healthone Presbyterian St Lukes 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 $25,404 across 10 insurers, ranging from $11,808 to $33,586.