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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,353 | $42,919 | 3.2× | $11,775 |
| Shoulder replacement | — | — | — | $16,735 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,748 | 2.3× | $29,949–$31,546 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Moda | $31,546 | 2.4× | 1 |
| PacificSource | $29,949 | 2.2× | 1 |
From the hospital's price-transparency file (2026-03-16); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-16); commercial plans, dollar-amount contracts only.
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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In 2024 the average total payment to Mountain View Hospital for an inpatient hip or knee replacement stay was $13,353 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,775 per outpatient case (APC 5115, 383 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $42,919, 3.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Mountain View Hospital's average total payment per Medicare stay is lower than 86% of the 7 Idaho hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $30,748 across 2 insurers, ranging from $29,949 to $31,546.