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Penrose Hospital: what a joint replacement costs

Colorado Springs, CO 80907 · CMS Certification Number 060031. 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
$8,835
Surgical Center of the Rockies, 5.9 mi
Outpatient here
$12,450
544 Medicare cases, APC 5115
Inpatient here
$14,892
78 Medicare stays, MS-DRG 470

Medicare prices at Penrose Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,892$87,9675.9×$12,450
Shoulder replacement$20,466$112,9285.5×$17,285
Hip replacement after a fracture (DRG 522)$15,597$115,5127.4×—

Quality

Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 300 beds

Colorado has no certificate-of-need law.

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Questions

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

In 2024 Medicare paid Penrose Hospital an average of $14,892 per inpatient hip or knee replacement stay (MS-DRG 470, 78 stays) and $12,450 per outpatient case (APC 5115, 544 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,967, 5.9× what Medicare paid. 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 Penrose Hospital?

Yes for Medicare facility payments. Surgical Center of the Rockies, an orthopedic surgery center 5.9 mi away, is paid about $8,835 by Medicare for a knee replacement (CPT 27447), $6,057 less than an inpatient stay at Penrose Hospital. Not every patient is a surgery-center candidate.

How does Penrose Hospital compare with other Colorado hospitals?

Medicare paid Penrose Hospital less than 65% of the 17 Colorado hospitals that report inpatient hip or knee replacement.