How much does major joint replacement, lower extremity, w/ MCC cost in Utah?

CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for Utah.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
469 Major joint replacement, lower extremity, w/ MCC
⚠ bare numeric assumed MS-DRG; verify
Ask to pay
$81,201
This is the local cash / self-pay price — usually the best rate you can ask for.
What Medicare paysⓘ
no data
Typical price near you
$30,372
Cash / self-pay price
$81,201
Prices near you — 15 facilities, lowest first
FacilityTypePricevs MedicareQuality
Timpanogos Regional Hospital (Orem) lowest Hospital $21,281negotiated — ★★★★★
Mountain View Hospital (Payson) Hospital $21,281negotiated — ★★★★★
Brigham City Community Hospital (Brigham City) Hospital $21,281negotiated — —
Lone Peak Hospital (Draper) Hospital $21,281negotiated — ★★★★★
Ogden Regional Medical Center (Ogden) Hospital $21,281negotiated — ★★★★★
Lakeview Hospital (Bountiful) Hospital $21,281negotiated — ★★★★★
Uintah Basin Medical Center (Roosevelt) Hospital $25,907negotiated — ★★★★★
Cache Valley Hospital (North Logan) Hospital $34,837negotiated — —
St. Mark's Hospital (Salt Lake City) Hospital $35,384negotiated — ★★★★★
Holy Cross Hospital - Jordan Valley (West Jordan) Hospital $38,060negotiated — ★★★★★
Holy Cross Hospital - Salt Lake (Salt Lake City) Hospital $38,060negotiated — ★★★★★
Holy Cross Hospital - Mountain Point (Lehi) Hospital $38,792negotiated — —
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 1 unusually low/high price excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
  • No Medicare benchmark on file for 469 (Major joint replacement, lower extremity, w/ MCC) — I can't anchor to Medicare here. Please send your pricing methodology for this code.
  • Your own published cash / self-pay price for 469 is $81,200.60, and negotiated rates at nearby facilities run $21,280.75–$38,791.72. Please apply a rate in that range to my bill rather than the gross charge.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See major joint replacement, lower extremity, w/ MCC prices in another area

What should 469 cost in Utah?

For major joint replacement, lower extremity, w/ MCC (CPT 469) in Utah, a fair self-pay price is around $30,372, with hospitals ranging from $21,281 to $38,792 across 15 facilities. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does major joint replacement, lower extremity, w/ MCC cost in Utah?

A fair self-pay price for major joint replacement, lower extremity, w/ MCC (CPT 469) in Utah is around $30,372, with hospital prices ranging from $21,281 to $38,792 across 15 facilities. These are estimates from hospital-published prices, not a guarantee.

Can I negotiate the price of major joint replacement, lower extremity, w/ MCC?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.

Compare other procedures in Utah

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.