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Mountain View Hospital: what a joint replacement costs

Idaho Falls, ID 83404 · CMS Certification Number 130065. 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
$8,224
Bonneville Surgery Center LLC, same ZIP
Outpatient here
$11,775
383 Medicare cases, APC 5115
Inpatient here
$13,353
35 Medicare stays, MS-DRG 470

Medicare prices at Mountain View Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,353$42,9193.2×$11,775
Shoulder replacement———$16,735

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Physician-owned · Acute · 43 beds

Idaho has no certificate-of-need law.

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Questions

How much does Medicare pay Mountain View Hospital for a knee or hip replacement?

In 2024 Medicare paid Mountain View Hospital an average of $13,353 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,775 per outpatient case (APC 5115, 383 cases).

What is Mountain View Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $42,919, 3.2× 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 Mountain View Hospital?

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), $5,129 less than an inpatient stay at Mountain View Hospital. Not every patient is a surgery-center candidate.

How does Mountain View Hospital compare with other Idaho hospitals?

Medicare paid Mountain View Hospital less than 86% of the 7 Idaho hospitals that report inpatient hip or knee replacement.