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 MRF reports rates against this code.

Major Joint Replacement of Lower Extremity Without MCC

MS-DRG 47042 Colorado hospitals reportingCMS-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 — half of negotiated 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 — facility costs, professional fees, and most ancillary services land in a single payment that varies more by hospital than by procedure.
· 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, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Major Joint Replacement of Lower Extremity Without MCC in Colorado?: Across 42 Colorado hospitals reporting a commercial negotiated rate for MS-DRG 470, the 25th-to-75th percentile band runs $19,392 to $28,177 per hospital median. The 50th-percentile (Colorado median) is $23,645.
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 offer a self-pay rate that's 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.
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 MRF 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.