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Intermountain Health St. Mary's Regional Hospital: what a joint replacement costs

Grand Junction, CO 81501 · CMS Certification Number 060023. 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
$8,321
Grand Valley Surgical Center, LLC, same ZIP
Outpatient here
$13,288
Medicare allowed amount, 217 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Intermountain Health St. Mary's Regional Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,288
Shoulder replacement———$18,956
Hip replacement after a fracture (DRG 522)$18,206$93,4425.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$60,647—$13,342–$63,9704
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$63,970—1
GEHA$60,647—1
UnitedHealthcare$60,647—1
Select Health$13,342—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

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 346 beds

Colorado has no certificate-of-need law.

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Questions

How much does Medicare pay Intermountain Health St. Mary's Regional Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $13,288 per outpatient hip or knee replacement case (APC 5115, 217 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Intermountain Health St. Mary's Regional Hospital?

Yes for Medicare facility payments. Grand Valley Surgical Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,321 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Intermountain Health St. Mary's Regional 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 $60,647 across 4 insurers, ranging from $13,342 to $63,970.