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Intermountain Health Spanish Fork Hospital: what a joint replacement costs

Spanish Fork, UT 84660 · CMS Certification Number 460062. 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, 20.9 mi
Outpatient here
$10,973
Medicare allowed amount, 25 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Intermountain Health Spanish Fork Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,973
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$35,238—$28,145–$54,1016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
AWH Connected$54,101—1
Deseret Mutual$37,838—1
EMI$36,576—1
Regence BlueShield$33,899—1
Intermountain Caregiver Plan$31,982—1
SelectHealth$28,145—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.

Quality

Nonprofit · Acute · 33 beds

Utah has no certificate-of-need law.

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Questions

How much does Medicare pay Intermountain Health Spanish Fork Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $10,973 per outpatient hip or knee replacement case (APC 5115, 25 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Intermountain Health Spanish Fork Hospital?

Yes for Medicare facility payments. Riverwood Surgery Center, an orthopedic surgery center 20.9 mi away, is paid about $8,650 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Intermountain Health Spanish Fork Hospital for a 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 $28,145 to $54,101.