Price AtlasInteractive atlas · All states · techysurgeon.comIntermountain Health St Vincent Regional Hospital: what a joint replacement costs
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.
Medicare prices at Intermountain Health St Vincent Regional Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,050 | 1.8× | $12,778–$36,980 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $36,980 | 2.6× | 1 |
| Cigna | $34,191 | 2.4× | 1 |
| Pacific Steel And Recycling | $32,563 | 2.3× | 1 |
| Pacificsource | $32,563 | 2.3× | 1 |
| Mt Health -Op | $31,314 | 2.2× | 1 |
| Coastal Administrative Services | $26,050 | 1.8× | 1 |
| HealthPartners | $24,748 | 1.7× | 1 |
| Ebms-Employee Benefit Mng | $17,714 | 1.2× | 1 |
| UnitedHealthcare | $13,286 | 0.9× | 1 |
| Aetna | $12,778 | 0.9× | 1 |
| First Choice Health | $12,778 | 0.9× | 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
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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Questions
How much does Medicare pay Intermountain Health St Vincent Regional Hospital for a knee or hip replacement?
In 2024 the average total payment to Intermountain Health St Vincent Regional Hospital for an inpatient hip or knee replacement stay was $14,332 (MS-DRG 470, 59 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,172 per outpatient case (APC 5115, 357 cases).
What is Intermountain Health St Vincent Regional Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,475, 3.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Intermountain Health St Vincent Regional Hospital?
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.
How does Intermountain Health St Vincent Regional Hospital compare with other Montana hospitals?
Intermountain Health St Vincent Regional Hospital's average total payment per Medicare stay is higher than 67% of the 6 Montana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Intermountain Health St Vincent Regional 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 $26,050 across 11 insurers, ranging from $12,778 to $36,980.