Coeur D'Alene, ID 83814 · CMS Certification Number 130049. 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 | $14,458 | $72,763 | 5.0× | $12,164 |
| Shoulder replacement | — | — | — | $17,671 |
| Hip replacement after a fracture (DRG 522) | $16,875 | $64,525 | 3.8× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 321 beds
Idaho has no certificate-of-need law.
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In 2024 Medicare paid Kootenai Health an average of $14,458 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $12,164 per outpatient case (APC 5115, 234 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,763, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northern Lakes Surgery Center, LLC, an orthopedic surgery center 7.3 mi away, is paid about $8,679 by Medicare for a knee replacement (CPT 27447), $5,779 less than an inpatient stay at Kootenai Health. Not every patient is a surgery-center candidate.
Medicare paid Kootenai Health less than 71% of the 7 Idaho hospitals that report inpatient hip or knee replacement.