Major hip and knee joint replacement or reattachment of lower extremity without major complications in Idaho
What 7 hospitals in Idaho charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$77,034
Hospital list price billed
Average payment
$15,223
Medicare + patient + other payers
Medicare paid
$13,040
Average per stay
State rank
#20 of 48
1 = lowest average payment
Hospitals in Idaho billed an average of $77,034 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.1 times the average total payment of $15,223. That payment is 12% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $15,223Billed $77,034
About 20¢ was paid for every $1 hospitals in Idaho billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Idaho:
Idaho hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Idaho hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Mountain View HospitalIdaho Falls | 35 | $42,919 | $13,353 | $11,815 |
| St Lukes Regional Medical CenterBoise | 34 | $91,134 | $14,854 | $13,256 |
| St Alphonsus Regional Medical CenterBoise | 28 | $57,699 | $16,226 | $13,250 |
| Saint Alphonsus Medical Center - NampaNampa | 20 | $62,003 | $15,269 | $13,637 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 15 | $122,281 | $15,334 | $13,453 |
| Portneuf Medical CenterPocatello | 13 | $148,842 | $19,633 | $14,206 |
| Kootenai Medical CenterCoeur D'alene | 13 | $72,763 | $14,458 | $12,755 |
Lowest and highest payments in Idaho
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mountain View HospitalIdaho Falls, ID | $13,353 |
|---|---|
| Kootenai Medical CenterCoeur D'alene, ID | $14,458 |
| St Lukes Regional Medical CenterBoise, ID | $14,854 |
| Saint Alphonsus Medical Center - NampaNampa, ID | $15,269 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $15,334 |
Highest
| Portneuf Medical CenterPocatello, ID | $19,633 |
|---|---|
| St Alphonsus Regional Medical CenterBoise, ID | $16,226 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $15,334 |
| Saint Alphonsus Medical Center - NampaNampa, ID | $15,269 |
| St Lukes Regional Medical CenterBoise, ID | $14,854 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Idaho?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 7 hospitals in Idaho was billed at $77,034 on average, while the average total payment was $15,223, of which Medicare paid $13,040. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Idaho, average charges were 5.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.