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Hip replacement in Idaho: what insurers pay

Posted commercial rates at 17 Idaho hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
North Canyon Medical Center Gooding$10,3210.8×82026-04-13
Saint Alphonsus Regional Medical Center Boise$11,0690.8×22026-03-31
St Joseph Regional Medical Center Lewiston$13,0481.0×12026-04-01
Kootenai Health Coeur D'Alene$13,5851.1×32026-03-27
Treasure Valley Hospital Boise$16,6341.3×32026-09-02
Mountain View Hospital Idaho Falls$18,8021.5×22026-03-16
Northwest Specialty Hospital Post Falls$19,0801.5×42026-03-05
St Luke'S Nampa Medical Center Nampa$19,2141.5×72026-03-25
St Luke'S Jerome Jerome$19,2141.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$19,2141.5×82026-03-25
Intermountain Health Cassia Regional Hospital Burley$19,2141.5×12026-08-05
Saint Alphonsus Medical Center - Nampa Nampa$23,5471.8×62026-03-31
St Luke'S Regional Medical Center Boise$26,4382.0×32026-03-25
Idaho Falls Community Hospital, Llc Idaho Falls$28,5392.3×32026-03-16
West Valley Medical Center Caldwell$34,0962.6×32026-09-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$16,4701.2×22026-03-05
Treasure Valley Hospital Boise$20,2531.5×52026-09-02
Bonner General Hospital Sandpoint$21,1981.6×42026-08-01
Idaho Falls Community Hospital, Llc Idaho Falls$28,6322.1×22026-03-16
Mountain View Hospital Idaho Falls$30,7482.3×22026-03-16
West Valley Medical Center Caldwell$32,1952.3×82026-09-01
Kootenai Health Coeur D'Alene$35,7782.6×42026-03-27
St Joseph Regional Medical Center Lewiston$37,2962.8×12026-04-01
St Luke'S Regional Medical Center Boise$41,4103.0×22026-03-25
St Luke'S Nampa Medical Center Nampa$41,4103.0×22026-03-25
St Luke'S Jerome Jerome$41,4103.0×22026-03-25
St Luke'S Elmore Medical Center Mountain Home$41,4103.1×22026-03-25
St Luke'S Wood River Medical Center Ketchum$41,4103.1×22026-03-25
Saint Alphonsus Regional Medical Center Boise$42,1253.0×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$42,1253.0×242026-03-31
Intermountain Health Cassia Regional Hospital Burley$46,7003.5×12026-08-05

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$23,6481.1×22026-03-05
Treasure Valley Hospital Boise$33,9651.6×52026-09-02
West Valley Medical Center Caldwell$43,8322.0×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$48,2662.3×22026-03-16
Mountain View Hospital Idaho Falls$50,9662.4×22026-03-16
St Joseph Regional Medical Center Lewiston$55,5292.6×12026-04-01
Kootenai Health Coeur D'Alene$57,4562.6×42026-03-27
Saint Alphonsus Regional Medical Center Boise$59,2492.7×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$59,2492.7×242026-03-31
Intermountain Health Cassia Regional Hospital Burley$65,6853.1×12026-08-05
St Luke'S Elmore Medical Center Mountain Home$79,7063.7×52026-03-25
St Luke'S Regional Medical Center Boise$81,2553.7×32026-03-25
St Luke'S Nampa Medical Center Nampa$81,2553.7×32026-03-25
St Luke'S Jerome Jerome$81,2553.8×32026-03-25
St Luke'S Wood River Medical Center Ketchum$81,2553.8×22026-03-25

Questions

How much do insurers pay for hip replacement in Idaho?

17 Idaho hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 15 hospitals is $19,214, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.