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Community Medical Center: what a joint replacement costs

Missoula, MT 59804 · CMS Certification Number 270023. 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
$8,636
Big Sky Surgery Center, same ZIP
Outpatient here
$12,234
122 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Community Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,234
Shoulder replacement———$17,191

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 151 beds

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

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Questions

How much does Medicare pay Community Medical Center for a knee or hip replacement?

Medicare allowed an average of $12,234 per outpatient hip or knee replacement case (APC 5115, 122 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Community Medical Center?

Yes for Medicare facility payments. Big Sky Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,636 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.