Boise, ID 83712 · CMS Certification Number 130006. 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 | $14,854 | $91,134 | 6.1× | $11,156 |
| Shoulder replacement | $19,148 | $125,516 | 6.6× | $16,293 |
| Hip replacement after a fracture (DRG 522) | $16,088 | $103,663 | 6.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,410 | 2.8× | $41,410–$41,410 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $41,410 | 2.8× | 1 |
| Blue Cross of Idaho | $41,410 | 2.8× | 1 |
From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 544 beds
Idaho has no certificate-of-need law.
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In 2024 the average total payment to St Luke's Regional Medical Center for an inpatient hip or knee replacement stay was $14,854 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,156 per outpatient case (APC 5115, 496 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,134, 6.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Emerald Surgical Center, an orthopedic surgery center 9.8 mi away, is paid about $8,634 by Medicare for a knee replacement (CPT 27447), $6,220 less than an inpatient stay at St Luke's Regional Medical Center. Not every patient is a surgery-center candidate.
St Luke's Regional Medical Center's average total payment per Medicare stay is lower than 57% of the 7 Idaho hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $41,410 across 2 insurers, ranging from $41,410 to $41,410.