Lewiston, ID 83501 · CMS Certification Number 130003. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,504 |
| Shoulder replacement | — | — | — | $17,412 |
| Hip replacement after a fracture (DRG 522) | $19,680 | $66,222 | 3.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,296 | — | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Blue Cross of Idaho | $37,296 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 145 beds
Idaho has no certificate-of-need law.
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The Medicare allowed amount averaged $12,504 per outpatient hip or knee replacement case (APC 5115, 136 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Lewis & Clark Outpatient Surgery, an orthopedic surgery center same ZIP away, is paid about $8,385 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $37,296 across 1 insurer.