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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,276 | $81,696 | 6.2× | $12,043 |
| Shoulder replacement | — | — | — | $17,434 |
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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In 2024 Medicare paid Great Falls Clinic Hospital an average of $13,276 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $12,043 per outpatient case (APC 5115, 191 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,696, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Great Falls Clinic Hospital less than 67% of the 6 Montana hospitals that report inpatient hip or knee replacement.