Saint Alphonsus Medical Center - Nampa: what a joint replacement costs

In 2024 the average total payment to Saint Alphonsus Medical Center - Nampa for an inpatient hip or knee replacement stay was $15,269 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,720 per outpatient case (APC 5115, 71 cases).

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,003, 4.1× 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. Millennium Surgery Center, an orthopedic surgery center 6.9 mi away, is paid about $8,634 by Medicare for a knee replacement (CPT 27447), $6,635 less than an inpatient stay at Saint Alphonsus Medical Center - Nampa. Not every patient is a surgery-center candidate.

Saint Alphonsus Medical Center - Nampa's average total payment per Medicare stay is higher 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 $42,125 across 24 insurers, ranging from $27,613 to $67,540.