Draper, UT 84020 · CMS Certification Number 460060. 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 | $12,730 | $133,294 | 10.5× | $11,288 |
| Shoulder replacement | — | — | — | $16,283 |
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 5 of 5 stars. For-profit · Acute · 61 beds
Utah has no certificate-of-need law.
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In 2024 the average total payment to Lone Peak Hospital for an inpatient hip or knee replacement stay was $12,730 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,288 per outpatient case (APC 5115, 218 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $133,294, 10.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Highpointe Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,692 by Medicare for a knee replacement (CPT 27447), $4,038 less than an inpatient stay at Lone Peak Hospital. Not every patient is a surgery-center candidate.
Lone Peak Hospital's average total payment per Medicare stay is lower than 93% of the 14 Utah hospitals that report inpatient hip or knee replacement.