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Portneuf Medical Center: what a joint replacement costs

Pocatello, ID 83201 · CMS Certification Number 130028. 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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,418
Medicare allowed amount, 89 cases, APC 5115
Inpatient here
$19,633
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Portneuf Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,633$148,8427.6×$12,418
Shoulder replacement———$17,921

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 187 beds

Idaho has no certificate-of-need law.

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Questions

How much does Medicare pay Portneuf Medical Center for a knee or hip replacement?

In 2024 the average total payment to Portneuf Medical Center for an inpatient hip or knee replacement stay was $19,633 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,418 per outpatient case (APC 5115, 89 cases).

What is Portneuf Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $148,842, 7.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Portneuf Medical Center compare with other Idaho hospitals?

Portneuf Medical Center's average total payment per Medicare stay is higher than 100% of the 7 Idaho hospitals that report inpatient hip or knee replacement.