Price AtlasInteractive atlas · All states · techysurgeon.comKootenai Health: what a joint replacement costs
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.
Medicare prices at Kootenai Health
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,778 | 2.5× | $27,390–$44,736 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Blue Cross of Idaho | $44,736 | 3.1× | 1 |
| Kaiser Permanente | $40,263 | 2.8× | 1 |
| Regence BlueShield | $31,294 | 2.2× | 1 |
| PacificSource | $27,390 | 1.9× | 1 |
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Kootenai Health for a knee or hip replacement?
In 2024 the average total payment to Kootenai Health for an inpatient hip or knee replacement stay was $14,458 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,164 per outpatient case (APC 5115, 234 cases).
What is Kootenai Health's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,763, 5.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Kootenai Health?
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.
How does Kootenai Health compare with other Idaho hospitals?
Kootenai Health's average total payment per Medicare stay is lower than 71% of the 7 Idaho hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Kootenai Health for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $35,778 across 4 insurers, ranging from $27,390 to $44,736.