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Foothills Hospital: what a joint replacement costs

Boulder, CO 80303 · CMS Certification Number 060027. 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
$9,130
Foothills Surgery Center, LLC, same ZIP
Outpatient here
$12,415
Medicare allowed amount, 522 cases, APC 5115
Inpatient here
$13,828
Avg total payment (incl. patient share), 39 Medicare stays, MS-DRG 470

Medicare prices at Foothills Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,828$117,3508.5×$12,415
Shoulder replacement———$17,701
Hip replacement after a fracture (DRG 522)$15,080$157,61010.5×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 181 beds

Colorado has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Foothills Hospital for an inpatient hip or knee replacement stay was $13,828 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,415 per outpatient case (APC 5115, 522 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,350, 8.5× 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 Foothills Hospital?

Yes for Medicare facility payments. Foothills Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $9,130 by Medicare for a knee replacement (CPT 27447), $4,698 less than an inpatient stay at Foothills Hospital. Not every patient is a surgery-center candidate.

How does Foothills Hospital compare with other Colorado hospitals?

Foothills Hospital's average total payment per Medicare stay is lower than 94% of the 17 Colorado hospitals that report inpatient hip or knee replacement.