Boise, ID 83706 · CMS Certification Number 130007. 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 | $16,226 | $57,699 | 3.6× | $12,516 |
| Shoulder replacement | — | — | — | $16,949 |
| Hip replacement after a fracture (DRG 522) | $16,459 | $72,921 | 4.4× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 365 beds
Idaho has no certificate-of-need law.
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In 2024 Medicare paid Saint Alphonsus Regional Medical Center an average of $16,226 per inpatient hip or knee replacement stay (MS-DRG 470, 28 stays) and $12,516 per outpatient case (APC 5115, 326 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,699, 3.6× 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 5.3 mi away, is paid about $8,634 by Medicare for a knee replacement (CPT 27447), $7,592 less than an inpatient stay at Saint Alphonsus Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Saint Alphonsus Regional Medical Center more than 86% of the 7 Idaho hospitals that report inpatient hip or knee replacement.