Price AtlasInteractive atlas · All states · techysurgeon.comGreat Falls Clinic Hospital: what a joint replacement costs
Great Falls, MT 59405 · CMS Certification Number 270086. 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 Great Falls Clinic Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,276 | $81,696 | 6.2× | $12,043 |
| Shoulder replacement | — | — | — | $17,434 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,933 | 2.4× | $31,574–$32,292 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS MT | $32,292 | 2.4× | 1 |
| Cigna | $31,574 | 2.4× | 1 |
From the hospital's price-transparency file (2026-02-18); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-18); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 20 beds
Montana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Great Falls Clinic Hospital for a knee or hip replacement?
In 2024 the average total payment to Great Falls Clinic Hospital for an inpatient hip or knee replacement stay was $13,276 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,043 per outpatient case (APC 5115, 191 cases).
What is Great Falls Clinic Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,696, 6.2× 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 Great Falls Clinic Hospital?
Yes for Medicare facility payments. Great Falls Clinic Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,096 by Medicare for a knee replacement (CPT 27447), $5,180 less than an inpatient stay at Great Falls Clinic Hospital. Not every patient is a surgery-center candidate.
How does Great Falls Clinic Hospital compare with other Montana hospitals?
Great Falls Clinic Hospital's average total payment per Medicare stay is lower than 67% of the 6 Montana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Great Falls Clinic 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 $31,933 across 2 insurers, ranging from $31,574 to $32,292.