Great Falls, MT 59405 · CMS Certification Number 270012. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,152 |
| Shoulder replacement | $18,343 | $90,692 | 4.9× | $17,434 |
| Hip replacement after a fracture (DRG 522) | $18,794 | $62,476 | 3.3× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 398 beds
Montana has a certificate-of-need program that does not cover surgery centers.
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Medicare allowed an average of $12,152 per outpatient hip or knee replacement case (APC 5115, 188 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Great Falls Clinic Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,096 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.