Major Joint Replacement of Lower Extremity Without MCC

MS-DRG 47042 Colorado hospitals reporting a negotiated rateCMS-required shoppable

Inpatient stay for elective hip or knee replacement without major complication or comorbidity. The most common inpatient procedure in adults 65+.

Typical insured price · Colorado

$19,392to$28,177

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $23,645.

$19,392$28,177

Cash price (median)

$30,983

What you'd pay self-pay

Gross charge (median)

$66,634

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 42 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: MS-DRG 470
Code system: MS-DRG (Medicare Severity Diagnosis-Related Group)
Typical setting: an inpatient setting
Hospitals reporting: 42
CMS shoppable: Yes — required disclosure

How they price Major Joint Replacement of Lower Extremity Without MCC

Across 42 Colorado hospitals that publish a commercial negotiated rate for MS-DRG 470, the typical insured price for Major Joint Replacement of Lower Extremity Without MCC runs $19,392 to $28,177 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $23,645 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $30,983, against a median gross charge of $66,634.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Inpatient stays are bundled by MS-DRG — most hospital services land in a single negotiated payment, though independent physicians may still bill separately.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

42 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Grand River Health Rifle Compare Metro Rest of Colorado Median negotiated $4,823 Your carrier's rate — 25th–75th $4,611 – $6,488 Cash — Payers 3	Rest of Colorado	$4,823	—	$4,611 – $6,488	—	3
San Luis Valley Health Conejos County Hospital Compare Metro Rest of Colorado Median negotiated $12,404 Your carrier's rate — 25th–75th $12,404 – $19,092 Cash — Payers 3	Rest of Colorado	$12,404	—	$12,404 – $19,092	—	3
Hca Healthone Rose Medical Center Compare Metro Denver Metro Median negotiated $15,978 Your carrier's rate — 25th–75th $5,738 – $18,040 Cash — Payers 22	Denver Metro	$15,978	—	$5,738 – $18,040	—	22
Community Hospital Grand Junction Compare Metro Rest of Colorado Median negotiated $15,998 Your carrier's rate — 25th–75th $15,998 – $17,038 Cash — Payers 7	Rest of Colorado	$15,998	—	$15,998 – $17,038	—	7
Hca Healthone Swedish Medical Center Compare Metro Denver Metro Median negotiated $16,699 Your carrier's rate — 25th–75th $5,738 – $18,040 Cash — Payers 21	Denver Metro	$16,699	—	$5,738 – $18,040	—	21
Banner Fort Collins Medical Center Compare Metro Fort Collins Median negotiated $16,828 Your carrier's rate — 25th–75th $16,026 – $40,867 Cash $21,385 Payers 16	Fort Collins	$16,828	—	$16,026 – $40,867	$21,385	16
Hca Healthone Presbyterian St Luke S Medical Center Compare Metro Denver Metro Median negotiated $16,942 Your carrier's rate — 25th–75th $6,825 – $18,040 Cash — Payers 23	Denver Metro	$16,942	—	$6,825 – $18,040	—	23
Hca Healthone Sky Ridge Medical Center Compare Metro Denver Metro Median negotiated $16,966 Your carrier's rate — 25th–75th $6,523 – $18,040 Cash — Payers 20	Denver Metro	$16,966	—	$6,523 – $18,040	—	20
Hca Healthone Aurora Medical Center of Aurora Compare Metro Denver Metro Median negotiated $17,349 Your carrier's rate — 25th–75th $6,214 – $18,040 Cash — Payers 21	Denver Metro	$17,349	—	$6,214 – $18,040	—	21
Hca Healthone Mountain Ridge Thornton Compare Metro Denver Metro Median negotiated $17,913 Your carrier's rate — 25th–75th $6,606 – $18,256 Cash — Payers 23	Denver Metro	$17,913	—	$6,606 – $18,256	—	23
Commonspirit Mercy Hospital Durango Compare Metro Rest of Colorado Median negotiated $19,381 Your carrier's rate — 25th–75th $19,381 – $19,381 Cash — Payers 11	Rest of Colorado	$19,381	—	$19,381 – $19,381	—	11
Commonspirit St Elizabeth Hospital Fort Morgan Compare Metro Rest of Colorado Median negotiated $19,426 Your carrier's rate — 25th–75th $19,426 – $19,426 Cash — Payers 8	Rest of Colorado	$19,426	—	$19,426 – $19,426	—	8
Commonspirit St Mary Corwin Hospital Pueblo Compare Metro Rest of Colorado Median negotiated $19,937 Your carrier's rate — 25th–75th $19,937 – $19,937 Cash — Payers 10	Rest of Colorado	$19,937	—	$19,937 – $19,937	—	10
Banner North Colorado Medical Center Compare Metro Rest of Colorado Median negotiated $20,226 Your carrier's rate — 25th–75th $16,855 – $40,453 Cash $24,121 Payers 15	Rest of Colorado	$20,226	—	$16,855 – $40,453	$24,121	15
Valley View Hospital Glenwood Springs Compare Metro Rest of Colorado Median negotiated $20,365 Your carrier's rate — 25th–75th $20,365 – $20,365 Cash — Payers 3	Rest of Colorado	$20,365	—	$20,365 – $20,365	—	3
Uchealth Grandview Hospital Colorado Springs Compare Metro Colorado Springs Median negotiated $21,547 Your carrier's rate — 25th–75th $16,458 – $30,899 Cash — Payers 8	Colorado Springs	$21,547	—	$16,458 – $30,899	—	8
Pikes Peak Regional Hospital Woodland Park Compare Metro Colorado Springs Median negotiated $22,094 Your carrier's rate — 25th–75th $21,157 – $23,239 Cash — Payers 3	Colorado Springs	$22,094	—	$21,157 – $23,239	—	3
Sterling Regional Medcenter Compare Metro Rest of Colorado Median negotiated $22,574 Your carrier's rate — 25th–75th $22,574 – $23,589 Cash $24,413 Payers 11	Rest of Colorado	$22,574	—	$22,574 – $23,589	$24,413	11
Commonspirit Orthocolorado Hospital Compare Metro Denver Metro Median negotiated $22,582 Your carrier's rate — 25th–75th $14,490 – $33,070 Cash — Payers 12	Denver Metro	$22,582	—	$14,490 – $33,070	—	12
Commonspirit Longmont United Hospital Compare Metro Boulder Median negotiated $22,908 Your carrier's rate — 25th–75th $17,157 – $40,751 Cash — Payers 13	Boulder	$22,908	—	$17,157 – $40,751	—	13
Uchealth Yampa Valley Medical Center Steamboat Springs Compare Metro Rest of Colorado Median negotiated $23,522 Your carrier's rate — 25th–75th $23,522 – $23,522 Cash — Payers 8	Rest of Colorado	$23,522	—	$23,522 – $23,522	—	8
Commonspirit St Anthony North Hospital Compare Metro Denver Metro Median negotiated $23,769 Your carrier's rate — 25th–75th $18,458 – $30,140 Cash — Payers 14	Denver Metro	$23,769	—	$18,458 – $30,140	—	14
Commonspirit St Francis Hospital Compare Metro Colorado Springs Median negotiated $24,150 Your carrier's rate — 25th–75th $15,504 – $38,254 Cash — Payers 12	Colorado Springs	$24,150	—	$15,504 – $38,254	—	12
Commonspirit St Anthony Hospital Lakewood Compare Metro Denver Metro Median negotiated $24,532 Your carrier's rate — 25th–75th $19,543 – $39,170 Cash — Payers 11	Denver Metro	$24,532	—	$19,543 – $39,170	—	11
Uchealth Medical Center of the Rockies Loveland Compare Metro Fort Collins Median negotiated $25,676 Your carrier's rate — 25th–75th $15,192 – $46,753 Cash — Payers 8	Fort Collins	$25,676	—	$15,192 – $46,753	—	8
Uchealth Highlands Ranch Hospital Compare Metro Denver Metro Median negotiated $26,417 Your carrier's rate — 25th–75th $15,239 – $35,346 Cash — Payers 8	Denver Metro	$26,417	—	$15,239 – $35,346	—	8
Uchealth Memorial Hospital Central Colorado Springs Compare Metro Colorado Springs Median negotiated $26,738 Your carrier's rate — 25th–75th $16,220 – $38,653 Cash — Payers 9	Colorado Springs	$26,738	—	$16,220 – $38,653	—	9
Uchealth Memorial Hospital North Colorado Springs Compare Metro Colorado Springs Median negotiated $26,738 Your carrier's rate — 25th–75th $16,220 – $38,653 Cash — Payers 9	Colorado Springs	$26,738	—	$16,220 – $38,653	—	9
Uchealth Poudre Valley Hospital Fort Collins Compare Metro Fort Collins Median negotiated $27,663 Your carrier's rate — 25th–75th $17,087 – $46,753 Cash — Payers 8	Fort Collins	$27,663	—	$17,087 – $46,753	—	8
Commonspirit St Anthony Summit Medical Center Compare Metro Rest of Colorado Median negotiated $27,694 Your carrier's rate — 25th–75th $27,694 – $35,738 Cash — Payers 9	Rest of Colorado	$27,694	—	$27,694 – $35,738	—	9
Boulder Community Health Foothills Hospital Compare Metro Boulder Median negotiated $27,817 Your carrier's rate — 25th–75th $15,726 – $39,828 Cash — Payers 12	Boulder	$27,817	—	$15,726 – $39,828	—	12
Uchealth University of Colorado Hospital Aurora Compare Metro Denver Metro Median negotiated $28,297 Your carrier's rate — 25th–75th $22,082 – $42,568 Cash — Payers 11	Denver Metro	$28,297	—	$22,082 – $42,568	—	11
Uchealth Longs Peak Hospital Longmont Compare Metro Boulder Median negotiated $28,485 Your carrier's rate — 25th–75th $16,011 – $36,354 Cash — Payers 9	Boulder	$28,485	—	$16,011 – $36,354	—	9
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $32,448 Your carrier's rate — 25th–75th $17,499 – $38,242 Cash — Payers 8	Rest of Colorado	$32,448	—	$17,499 – $38,242	—	8
Uchealth Greeley Hospital Compare Metro Rest of Colorado Median negotiated $32,473 Your carrier's rate — 25th–75th $15,945 – $46,502 Cash — Payers 8	Rest of Colorado	$32,473	—	$15,945 – $46,502	—	8
Denver Health Medical Center Compare Metro Denver Metro Median negotiated $37,330 Your carrier's rate — 25th–75th $32,190 – $44,591 Cash — Payers 5	Denver Metro	$37,330	—	$32,190 – $44,591	—	5
Children S Hospital Colorado Colorado Springs Compare Metro Colorado Springs Median negotiated $40,324 Your carrier's rate — 25th–75th $32,914 – $49,937 Cash — Payers 5	Colorado Springs	$40,324	—	$32,914 – $49,937	—	5
Heart of the Rockies Regional Medical Center Salida Gross charge $44,180 Compare Metro Rest of Colorado Median negotiated $41,971 Your carrier's rate — 25th–75th $27,171 – $41,971 Cash $37,553 Payers 10	Rest of Colorado	$41,971	—	$27,171 – $41,971	$37,553	10
Commonspirit St Francis Hospital Interquest Compare Metro Colorado Springs Median negotiated $42,333 Your carrier's rate — 25th–75th $29,537 – $49,522 Cash — Payers 7	Colorado Springs	$42,333	—	$29,537 – $49,522	—	7
Commonspirit St Thomas More Hospital Ca on City Compare Metro Rest of Colorado Median negotiated $57,187 Your carrier's rate — 25th–75th $45,331 – $89,584 Cash — Payers 3	Rest of Colorado	$57,187	—	$45,331 – $89,584	—	3
Gunnison Valley Health Gross charge $66,634 Compare Metro Rest of Colorado Median negotiated $59,971 Your carrier's rate — 25th–75th $53,307 – $63,303 Cash $56,639 Payers 15	Rest of Colorado	$59,971	—	$53,307 – $63,303	$56,639	15
Montrose Regional Health Gross charge $95,018 Compare Metro Rest of Colorado Median negotiated $90,267 Your carrier's rate — 25th–75th $83,141 – $90,267 Cash $71,264 Payers 13	Rest of Colorado	$90,267	—	$83,141 – $90,267	$71,264	13

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Major Joint Replacement of Lower Extremity Without MCC cost in Colorado?

Across 42 Colorado hospitals that publish a commercial negotiated rate, the median is $23,645. The middle half of hospitals fall between $19,392 and $28,177 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

For inpatient stays like this one, the price is bundled per admission — most hospital services land in one payment. The physicians who treat you (your surgeon, or the anesthesiologist) may still bill separately depending on how the hospital employs them. Ask whether physician fees are included before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Major Joint Replacement of Lower Extremity Without MCC under 82 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Major Joint Replacement of Lower Extremity Without MCC if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $30,983. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does MS-DRG 470 mean?

MS-DRG 470 is the MS-DRG (Medicare Severity Diagnosis-Related Group) code for Major Joint Replacement of Lower Extremity Without MCC. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.