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Intermountain Health Utah Valley Hospital: what a joint replacement costs

Provo, UT 84604 · CMS Certification Number 460001. 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
$8,650
Riverwood Surgery Center, same ZIP
Outpatient here
$11,640
151 Medicare cases, APC 5115
Inpatient here
$16,736
22 Medicare stays, MS-DRG 470

Medicare prices at Intermountain Health Utah Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,736$68,2454.1×$11,640
Shoulder replacement———$16,037
Hip replacement after a fracture (DRG 522)$15,867$76,3064.8×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 395 beds

Utah has no certificate-of-need law.

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Questions

How much does Medicare pay Intermountain Health Utah Valley Hospital for a knee or hip replacement?

In 2024 Medicare paid Intermountain Health Utah Valley Hospital an average of $16,736 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,640 per outpatient case (APC 5115, 151 cases).

What is Intermountain Health Utah Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,245, 4.1× 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 Intermountain Health Utah Valley Hospital?

Yes for Medicare facility payments. Riverwood Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,650 by Medicare for a knee replacement (CPT 27447), $8,086 less than an inpatient stay at Intermountain Health Utah Valley Hospital. Not every patient is a surgery-center candidate.

How does Intermountain Health Utah Valley Hospital compare with other Utah hospitals?

Medicare paid Intermountain Health Utah Valley Hospital more than 79% of the 14 Utah hospitals that report inpatient hip or knee replacement.