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Benefis Hospitals Inc: what a joint replacement costs

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.

Surgery center nearby
$8,096
Great Falls Clinic Surgery Center, LLC, same ZIP
Outpatient here
$12,152
188 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Benefis Hospitals Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,152
Shoulder replacement$18,343$90,6924.9×$17,434
Hip replacement after a fracture (DRG 522)$18,794$62,4763.3×—

Quality

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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Questions

How much does Medicare pay Benefis Hospitals Inc for a knee or hip replacement?

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.

Is a knee replacement cheaper at a surgery center near Benefis Hospitals Inc?

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.