CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Specialty Hospital of Denver

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$29,698
about 2.1× the $14,044 Medicare rate · typically $13,333–$50,961
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,057
About the fair price
about $3,359 over the fair price · 2.4× Medicare
Medicare pays $14,044 Fair price $29,698 This hospital $33,057

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 $33,057

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 $29,698 (about 2.1× the $14,044 Medicare rate). PAM Specialty Hospital of Denver charges insurers about $33,057 — about the fair price. Located in Denver, 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✓ Humana✓ Kaiser Permanente AetnaCigna

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 $33,057 - $36,363 235%
Blue Cross Blue Shieldmajor $33,057 235%
Humanamajor $33,057 235%
Kaiser Permanentemajor $33,057 235%
SelectHealth $33,057 235%
+ 4 smaller / regional plans $33,057
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1690 N Meade St, Denver, CO 80204
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL