CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lone Peak Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,897

about 1.4× the $14,044 Medicare rate · typically $14,379–$25,326

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,087

Above the fair price

about $3,190 over the fair price · 1.6× Medicare

Medicare pays $14,044 Fair price $19,897 This hospital $23,087

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $15,362 Priciest $23,087

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

A fair price for a Hip or knee replacement (inpatient stay) is about $19,897 (about 1.4× the $14,044 Medicare rate). Lone Peak Hospital charges insurers about $23,087 — above the fair price. Located in Draper, UT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,897. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$13,350 - $28,974	95%
Aetnamajor	$3,564 - $29,445	25%
Cignamajor	$13,218 - $52,415	94%
Humanamajor	$12,689 - $28,982	90%
Bright Health	$12,026	86%
Molina	$13,218 - $17,293	94%
+ 12 smaller / regional plans	$13,218 - $40,142

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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, 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 Lone Peak Hospital 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 Lone Peak Hospital

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

Castleview Hospital · Price $15,362
Ashley Regional Medical Center · Vernal $17,048
Intermountain Health Utah Valley Hospital · Provo $17,207
Lds Hospital · Salt Lake City $17,207
Intermountain Health Logan Regional Hospital · Logan $17,207
American Fork Hospital · American Fork $17,207
Orem Community Hospital · Orem $17,207
Intermountain Health Alta View Hospital · Sandy $17,207

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