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McKay-Dee Hospital: what a joint replacement costs

Ogden, UT 84403 · CMS Certification Number 460004. 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
$8,576
Surgery Center at South Ogden, LLC, same ZIP
Outpatient here
$11,635
Medicare allowed amount, 218 cases, APC 5115
Inpatient here
$15,479
Avg total payment (incl. patient share), 31 Medicare stays, MS-DRG 470

Medicare prices at McKay-Dee Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,479$67,8044.4×$11,635
Shoulder replacement———$2,990
Hip replacement after a fracture (DRG 522)$15,290$68,5604.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,5862.2×$30,064–$54,1016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AWH Connected$54,1013.5×1
Deseret Mutual$37,8382.4×1
EMI$36,5762.4×1
Regence BlueShield$32,5962.1×1
Intermountain Caregiver Plan$31,9822.1×1
SelectHealth$30,0641.9×1

From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 321 beds

Utah has no certificate-of-need law.

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Questions

How much does Medicare pay McKay-Dee Hospital for a knee or hip replacement?

In 2024 the average total payment to McKay-Dee Hospital for an inpatient hip or knee replacement stay was $15,479 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,635 per outpatient case (APC 5115, 218 cases).

What is McKay-Dee Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,804, 4.4× 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 McKay-Dee Hospital?

Yes for Medicare facility payments. Surgery Center at South Ogden, LLC, an orthopedic surgery center same ZIP away, is paid about $8,576 by Medicare for a knee replacement (CPT 27447), $6,903 less than an inpatient stay at McKay-Dee Hospital. Not every patient is a surgery-center candidate.

How does McKay-Dee Hospital compare with other Utah hospitals?

McKay-Dee Hospital's average total payment per Medicare stay is higher than 57% of the 14 Utah hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay McKay-Dee 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 $34,586 across 6 insurers, ranging from $30,064 to $54,101.