Hip or knee replacement in Idaho
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$72,763typical hospital bill
$15,269typical amount paid
$13,353–$19,633range paid across 7 hospitals
Idaho hospitals billed Medicare a typical $72,763 for this stay in 2024, about 4.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Mountain View Hospital | Idaho Falls | 35 | $42,919 | $13,353 | |
| Kootenai Health | Coeur D'alene | 13 | $72,763 | $14,458 | |
| St Luke's Regional Medical Center | Boise | 34 | $91,134 | $14,854 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 20 | $62,003 | $15,269 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 15 | $122,281 | $15,334 | |
| Saint Alphonsus Regional Medical Center | Boise | 28 | $57,699 | $16,226 | |
| Portneuf Medical Center | Pocatello | 13 | $148,842 | $19,633 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.