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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid St Luke's Regional Medical Center an average of $14,854 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $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× what Medicare paid. 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.
Medicare paid St Luke's Regional Medical Center less than 57% of the 7 Idaho hospitals that report inpatient hip or knee replacement.