CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sterling Regional Medcenter

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$20,084

about 1.4× the $14,044 Medicare rate · typically $16,090–$29,321

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,574

About the fair price

about $2,490 over the fair price · 1.6× Medicare

Medicare pays $14,044 Fair price $20,084 This hospital $22,574 Cash price $24,413

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $12,404 Priciest $22,574

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $20,084 (about 1.4× the $14,044 Medicare rate). Sterling Regional Medcenter charges insurers about $22,574, or about $24,413 in cash — about the fair price. Located in Sterling, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$22,574	161%
Blue Cross Blue Shieldmajor	$22,574	161%
Aetnamajor	$22,574	161%
Humanamajor	$23,928	170%
Banner Health	$22,574	161%
Cigna HealthSpring	$22,574	161%
Devoted Health	$24,831	177%
Medica	$22,574	161%
+ 3 smaller / regional plans	$22,574 - $44,088

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 24,413), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Sterling Regional Medcenter is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sterling Regional Medcenter

Compare: Hip or knee replacement (inpatient stay) at other CO hospitals

San Luis Valley Regional Medical Center · Alamosa $12,404
Animas Surgical Hospital, LLC · Durango $14,539
Montrose Regional Health · Montrose $14,973
Community Hospital · Grand Junction $15,998
HCA Healthone Rose · Denver $16,378
Banner Fort Collins Medical Center · Fort Collins $16,667
Hca-Healthone DBA Swedish Medical Center · Englewood $17,033
HCA Healthone Presbyterian St Luke's · Denver $17,365

Insurance negotiated median for the same procedure, sorted lowest first.