Billings, MT 59101 · CMS Certification Number 270049. 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 | $14,332 | $55,475 | 3.9× | $12,172 |
| Shoulder replacement | $19,137 | $84,556 | 4.4× | $17,434 |
| Hip replacement after a fracture (DRG 522) | $15,974 | $57,824 | 3.6× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 286 beds
Montana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Intermountain Health St Vincent Regional Hospital an average of $14,332 per inpatient hip or knee replacement stay (MS-DRG 470, 59 stays) and $12,172 per outpatient case (APC 5115, 357 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,475, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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), $5,740 less than an inpatient stay at Intermountain Health St Vincent Regional Hospital. Not every patient is a surgery-center candidate.
Medicare paid Intermountain Health St Vincent Regional Hospital more than 67% of the 6 Montana hospitals that report inpatient hip or knee replacement.