Price AtlasInteractive atlas · All states · techysurgeon.comBillings Clinic Hospital: what a joint replacement costs
Billings, MT 59101 · CMS Certification Number 270004. 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 Billings Clinic Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,365 | $39,674 | 2.6× | $10,666 |
| Shoulder replacement | — | — | — | $16,650 |
| Hip replacement after a fracture (DRG 522) | $16,457 | $40,697 | 2.5× | — |
Quality
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 304 beds
Montana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Billings Clinic Hospital for a knee or hip replacement?
In 2024 the average total payment to Billings Clinic Hospital for an inpatient hip or knee replacement stay was $15,365 (MS-DRG 470, 54 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,666 per outpatient case (APC 5115, 294 cases).
What is Billings Clinic Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,674, 2.6× the average total payment for a Medicare stay. 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 Billings Clinic Hospital?
Yes for Medicare facility payments. Northern Rockies Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,592 by Medicare for a knee replacement (CPT 27447), $6,773 less than an inpatient stay at Billings Clinic Hospital. Not every patient is a surgery-center candidate.
How does Billings Clinic Hospital compare with other Montana hospitals?
Billings Clinic Hospital's average total payment per Medicare stay is higher than 100% of the 6 Montana hospitals that report inpatient hip or knee replacement.