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Lakeview Hospital: what a joint replacement costs

Bountiful, UT 84010 · CMS Certification Number 460042. 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
$8,576
Mountain West Surgical Center, same ZIP
Outpatient here
$11,714
Medicare allowed amount, 333 cases, APC 5115
Inpatient here
$13,676
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Lakeview Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,676$95,1707.0×$11,714
Shoulder replacement———$16,204
Hip replacement after a fracture (DRG 522)$14,731$111,9897.6×—

Quality

Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 117 beds

Utah has no certificate-of-need law.

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Questions

How much does Medicare pay Lakeview Hospital for a knee or hip replacement?

In 2024 the average total payment to Lakeview Hospital for an inpatient hip or knee replacement stay was $13,676 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,714 per outpatient case (APC 5115, 333 cases).

What is Lakeview Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,170, 7.0× the average total payment for a Medicare stay. 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 Lakeview Hospital?

Yes for Medicare facility payments. Mountain West Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,576 by Medicare for a knee replacement (CPT 27447), $5,100 less than an inpatient stay at Lakeview Hospital. Not every patient is a surgery-center candidate.

How does Lakeview Hospital compare with other Utah hospitals?

Lakeview Hospital's average total payment per Medicare stay is lower than 79% of the 14 Utah hospitals that report inpatient hip or knee replacement.