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Great 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.

Surgery center nearby
$8,096
Great Falls Clinic Surgery Center, LLC, same ZIP
Outpatient here
$12,043
191 Medicare cases, APC 5115
Inpatient here
$13,276
23 Medicare stays, MS-DRG 470

Medicare prices at Great Falls Clinic Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,276$81,6966.2×$12,043
Shoulder replacement———$17,434

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 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).

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× 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 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?

Medicare paid Great Falls Clinic Hospital less than 67% of the 6 Montana hospitals that report inpatient hip or knee replacement.