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Idaho Falls Community Hospital, LLC: what a joint replacement costs

Idaho Falls, ID 83404 · CMS Certification Number 130074. 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
$11,828
Medicare allowed amount, 67 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Idaho Falls Community Hospital, LLC

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,828
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,632—$24,462–$32,8012
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
PacificSource$32,801—1
UnitedHealthcare$24,462—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.

Quality

Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 88 beds

Idaho has no certificate-of-need law.

Open the interactive price tagBuild a reportAll Idaho hospitals

Questions

How much does Medicare pay Idaho Falls Community Hospital, LLC for a knee or hip replacement?

The Medicare allowed amount averaged $11,828 per outpatient hip or knee replacement case (APC 5115, 67 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Idaho Falls Community Hospital, LLC?

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). Not every patient is a surgery-center candidate.

What do commercial insurers pay Idaho Falls Community Hospital, LLC 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 $28,632 across 2 insurers, ranging from $24,462 to $32,801.