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Lone Peak Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,692
Highpointe Surgery Center LLC, same ZIP
Outpatient here
$11,288
218 Medicare cases, APC 5115
Inpatient here
$12,730
16 Medicare stays, MS-DRG 470

Medicare prices at Lone Peak Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,730$133,29410.5×$11,288
Shoulder replacement———$16,283

Quality

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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Questions

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

In 2024 Medicare paid Lone Peak Hospital an average of $12,730 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,288 per outpatient case (APC 5115, 218 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $133,294, 10.5× 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 Lone Peak Hospital?

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.

How does Lone Peak Hospital compare with other Utah hospitals?

Medicare paid Lone Peak Hospital less than 93% of the 14 Utah hospitals that report inpatient hip or knee replacement.