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Logan Health Medical Center: what a joint replacement costs

Kalispell, MT 59901 · CMS Certification Number 270051. 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
Outpatient Surgery Center, same ZIP
Outpatient here
$13,139
209 Medicare cases, APC 5115
Inpatient here
$12,855
11 Medicare stays, MS-DRG 470

Medicare prices at Logan Health Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,855$57,4194.5×$13,139
Shoulder replacement———$18,232
Hip replacement after a fracture (DRG 522)$15,720$46,0052.9×—

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 160 beds

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

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Questions

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

In 2024 Medicare paid Logan Health Medical Center an average of $12,855 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $13,139 per outpatient case (APC 5115, 209 cases).

What is Logan Health Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,419, 4.5× 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 Logan Health Medical Center?

Yes for Medicare facility payments. Outpatient Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,267 by Medicare for a knee replacement (CPT 27447), $4,588 less than an inpatient stay at Logan Health Medical Center. Not every patient is a surgery-center candidate.

How does Logan Health Medical Center compare with other Montana hospitals?

Medicare paid Logan Health Medical Center less than 83% of the 6 Montana hospitals that report inpatient hip or knee replacement.