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Intermountain 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.

Surgery center nearby
$8,592
Northern Rockies Surgery Center, same ZIP
Outpatient here
$12,172
357 Medicare cases, APC 5115
Inpatient here
$14,332
59 Medicare stays, MS-DRG 470

Medicare prices at Intermountain Health St Vincent Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,332$55,4753.9×$12,172
Shoulder replacement$19,137$84,5564.4×$17,434
Hip replacement after a fracture (DRG 522)$15,974$57,8243.6×—

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 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).

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× what Medicare paid. 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?

Medicare paid Intermountain Health St Vincent Regional Hospital more than 67% of the 6 Montana hospitals that report inpatient hip or knee replacement.