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Adventhealth Castle Rock: what a joint replacement costs

Castle Rock, CO 80109 · CMS Certification Number 060125. 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
Castle Rock Surgicenter LLC, same ZIP
Outpatient here
$12,437
Medicare allowed amount, 144 cases, APC 5115
Inpatient here
$14,018
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Adventhealth Castle Rock

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,018$114,8578.2×$12,437
Shoulder replacement———$16,971

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,0921.6×$15,582–$43,6823
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$43,6823.1×1
Selecthealth$22,0921.6×1
Rocky Mountain$15,5821.1×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 90 beds

Colorado has no certificate-of-need law.

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Questions

How much does Medicare pay Adventhealth Castle Rock for a knee or hip replacement?

In 2024 the average total payment to Adventhealth Castle Rock for an inpatient hip or knee replacement stay was $14,018 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,437 per outpatient case (APC 5115, 144 cases).

What is Adventhealth Castle Rock's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,857, 8.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Adventhealth Castle Rock?

Yes for Medicare facility payments. Castle Rock Surgicenter LLC, an orthopedic surgery center same ZIP away, is paid about $8,995 by Medicare for a knee replacement (CPT 27447), $5,023 less than an inpatient stay at Adventhealth Castle Rock. Not every patient is a surgery-center candidate.

How does Adventhealth Castle Rock compare with other Colorado hospitals?

Adventhealth Castle Rock's average total payment per Medicare stay is lower than 88% of the 17 Colorado hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Adventhealth Castle Rock 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 $22,092 across 3 insurers, ranging from $15,582 to $43,682.