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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,736 | $68,245 | 4.1× | $11,640 |
| Shoulder replacement | — | — | — | $16,037 |
| Hip replacement after a fracture (DRG 522) | $15,867 | $76,306 | 4.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,238 | 2.1× | $30,064–$54,101 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AWH Connected | $54,101 | 3.2× | 1 |
| Deseret Mutual | $37,838 | 2.3× | 1 |
| EMI | $36,576 | 2.2× | 1 |
| Regence BlueShield | $33,899 | 2.0× | 1 |
| Intermountain Caregiver Plan | $31,982 | 1.9× | 1 |
| SelectHealth | $30,064 | 1.8× | 1 |
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
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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In 2024 the average total payment to Intermountain Health Utah Valley Hospital for an inpatient hip or knee replacement stay was $16,736 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,640 per outpatient case (APC 5115, 151 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,245, 4.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Intermountain Health Utah Valley Hospital's average total payment per Medicare stay is higher than 79% of the 14 Utah hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $35,238 across 6 insurers, ranging from $30,064 to $54,101.