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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,855 | $57,419 | 4.5× | $13,139 |
| Shoulder replacement | — | — | — | $18,232 |
| Hip replacement after a fracture (DRG 522) | $15,720 | $46,005 | 2.9× | — |
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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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).
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.
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.
Medicare paid Logan Health Medical Center less than 83% of the 6 Montana hospitals that report inpatient hip or knee replacement.