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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 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).
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.
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.
Medicare paid Intermountain Health Utah Valley Hospital more than 79% of the 14 Utah hospitals that report inpatient hip or knee replacement.