Idaho Falls, ID 83404 · CMS Certification Number 130018. 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 | $15,334 | $122,281 | 8.0× | $11,681 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 330 beds
Idaho has no certificate-of-need law.
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In 2024 Medicare paid Eastern Idaho Regional Medical Center an average of $15,334 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,681 per outpatient case (APC 5115, 69 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,281, 8.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Bonneville Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,224 by Medicare for a knee replacement (CPT 27447), $7,110 less than an inpatient stay at Eastern Idaho Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Eastern Idaho Regional Medical Center more than 71% of the 7 Idaho hospitals that report inpatient hip or knee replacement.