CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Banner Fort Collins Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$23,075

about 1.6× the $14,044 Medicare rate · typically $16,878–$30,148

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,667

Below the fair price — a good deal

about $6,408 under the fair price · 1.2× Medicare

Medicare pays $14,044 Fair price $23,075 This hospital $16,667 Cash price $21,385

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CO hospitals compared.

Cheapest $12,404 Priciest $17,475

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 $23,075 (about 1.6× the $14,044 Medicare rate). Banner Fort Collins Medical Center charges insurers about $16,667, or about $21,385 in cash — below the fair price — a good deal. Located in Fort Collins, CO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$15,545 - $66,179	111%
Blue Cross Blue Shieldmajor	$16,026	114%
Aetnamajor	$68,659	489%
Cignamajor	$16,026	114%
Humanamajor	$16,507	118%
Banner Health	$16,026	114%
Cigna HealthSpring	$16,026	114%
Devoted Health	$16,828	120%
Medica	$16,026	114%
+ 7 smaller / regional plans	$16,026 - $40,867

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 21,385), 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 Banner Fort Collins Medical Center 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 Banner Fort Collins Medical Center

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
Hca-Healthone DBA Swedish Medical Center · Englewood $17,033
HCA Healthone Presbyterian St Luke's · Denver $17,365
Sky Ridge Medical Center · Lone Tree $17,475

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