Price AtlasInteractive atlas · All states · techysurgeon.comSt Peters Health: what a joint replacement costs
Helena, MT 59601 · CMS Certification Number 270003. 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 St Peters Health
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,352 | $39,830 | 2.8× | $12,898 |
| Shoulder replacement | — | — | — | $18,308 |
| Hip replacement after a fracture (DRG 522) | $17,289 | $51,571 | 3.0× | — |
Quality
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 99 beds
Montana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay St Peters Health for a knee or hip replacement?
In 2024 Medicare paid St Peters Health an average of $14,352 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $12,898 per outpatient case (APC 5115, 279 cases).
What is St Peters Health's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,830, 2.8× 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 St Peters Health?
Yes for Medicare facility payments. Helena Surgicenter LLC, an orthopedic surgery center same ZIP away, is paid about $8,267 by Medicare for a knee replacement (CPT 27447), $6,085 less than an inpatient stay at St Peters Health. Not every patient is a surgery-center candidate.
How does St Peters Health compare with other Montana hospitals?
Medicare paid St Peters Health more than 83% of the 6 Montana hospitals that report inpatient hip or knee replacement.