Lone Tree, CO 80124 · CMS Certification Number 060112. 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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,927 | $241,461 | 15.2× | $12,319 |
| Shoulder replacement | $20,849 | $270,808 | 13.0× | $17,481 |
| Hip replacement after a fracture (DRG 522) | $26,175 | $315,074 | 12.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,357 | 1.3× | $12,449–$33,586 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Rocky Mountain Health Plan | $33,586 | 2.1× | 1 |
| UnitedHealthcare | $27,766 | 1.7× | 1 |
| Wppa | $26,619 | 1.7× | 1 |
| Cigna | $26,486 | 1.7× | 1 |
| Kaiser Permanente | $23,741 | 1.5× | 1 |
| Delaware Life Insurance | $16,973 | 1.1× | 1 |
| Aetna | $16,479 | 1.0× | 1 |
| Bright Health | $16,479 | 1.0× | 1 |
| Rocky Mountain Health | $16,479 | 1.0× | 1 |
| Elevance/Anthem/Empire | $12,449 | 0.8× | 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.
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 304 beds
Colorado has no certificate-of-need law.
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In 2024 the average total payment to Hca Healthone Sky Ridge for an inpatient hip or knee replacement stay was $15,927 (MS-DRG 470, 63 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,319 per outpatient case (APC 5115, 284 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $241,461, 15.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sky Ridge Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,995 by Medicare for a knee replacement (CPT 27447), $6,932 less than an inpatient stay at Hca Healthone Sky Ridge. Not every patient is a surgery-center candidate.
Hca Healthone Sky Ridge's average total payment per Medicare stay is higher than 59% of the 17 Colorado hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,357 across 10 insurers, ranging from $12,449 to $33,586.