Revision of Hip or Knee Replacement Without Cc/Mcc in Idaho
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$81,409typical hospital bill
$20,287typical amount paid
$20,073–$22,584range paid across 3 hospitals
Idaho hospitals billed Medicare a typical $81,409 for this stay in 2024, about 4.0 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 | 12 | $79,473 | $20,073 | |
| St Luke's Regional Medical Center | Boise | 19 | $100,238 | $20,287 | |
| Saint Alphonsus Regional Medical Center | Boise | 22 | $81,409 | $22,584 |
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.