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Intermountain Health St James Hospital: what a joint replacement costs

Butte, MT 59701 · CMS Certification Number 270017. 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
$8,267
Summit Surgery Center, LLC, same ZIP
Outpatient here
$13,194
Medicare allowed amount, 29 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Intermountain Health St James Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,194
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$20,313$72,7403.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,393—$12,252–$35,4936
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$35,493—1
Coastal Administrative Services$27,353—1
Elevance/Anthem/Empire$21,500—1
UnitedHealthcare$13,286—1
Ebms-Employee Benefit Mng$12,252—1
First Choice Health$12,252—1

From the hospital's price-transparency file (2026-03-22); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-22); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 98 beds

Montana has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Intermountain Health St James Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $13,194 per outpatient hip or knee replacement case (APC 5115, 29 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Intermountain Health St James Hospital?

Yes for Medicare facility payments. Summit Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,267 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Intermountain Health St James Hospital 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 $17,393 across 6 insurers, ranging from $12,252 to $35,493.