Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Kootenai 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.

Surgery center nearby
$8,679
Northern Lakes Surgery Center, LLC, 7.3 mi
Outpatient here
$12,164
234 Medicare cases, APC 5115
Inpatient here
$14,458
13 Medicare stays, MS-DRG 470

Medicare prices at Kootenai Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,458$72,7635.0×$12,164
Shoulder replacement———$17,671
Hip replacement after a fracture (DRG 522)$16,875$64,5253.8×—

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.

Open the interactive price tagBuild a reportAll Idaho hospitals

Questions

How much does Medicare pay Kootenai Health for a knee or hip replacement?

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).

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× what Medicare paid. 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?

Medicare paid Kootenai Health less than 71% of the 7 Idaho hospitals that report inpatient hip or knee replacement.