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Shoulder 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 23472

HospitalMedian across insurers× MedicareInsurersFile date
North Canyon Medical Center Gooding$8,6760.5×52026-04-13
St Joseph Regional Medical Center Lewiston$13,0480.8×12026-04-01
Saint Alphonsus Regional Medical Center Boise$13,6500.8×22026-03-31
Treasure Valley Hospital Boise$19,5701.1×32026-09-02
St Luke'S Nampa Medical Center Nampa$19,6031.1×72026-03-25
St Luke'S Jerome Jerome$19,6031.1×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$19,6031.1×82026-03-25
Intermountain Health Cassia Regional Hospital Burley$19,6031.1×12026-08-05
Northwest Specialty Hospital Post Falls$25,5481.4×42026-03-05
Saint Alphonsus Medical Center - Nampa Nampa$34,0241.9×52026-03-31
Mountain View Hospital Idaho Falls$38,7852.2×12026-03-16
Kootenai Health Coeur D'Alene$41,4982.3×22026-03-27
Idaho Falls Community Hospital, Llc Idaho Falls$43,3062.5×22026-03-16
West Valley Medical Center Caldwell$45,7442.6×32026-09-01
St Luke'S Regional Medical Center Boise$56,4653.2×32026-03-25

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Bonner General Hospital Sandpoint$27,2381.4×42026-08-01
Northwest Specialty Hospital Post Falls$28,6011.4×12026-03-05
Treasure Valley Hospital Boise$29,1051.5×52026-09-02
West Valley Medical Center Caldwell$35,6971.8×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$36,7341.9×22026-03-16
Mountain View Hospital Idaho Falls$38,2472.0×22026-03-16
Kootenai Health Coeur D'Alene$45,4652.3×42026-03-27
St Joseph Regional Medical Center Lewiston$45,7222.4×12026-04-01
Saint Alphonsus Regional Medical Center Boise$48,5592.4×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$48,5592.4×242026-03-31
Intermountain Health Cassia Regional Hospital Burley$53,8342.8×12026-08-05
St Luke'S Regional Medical Center Boise$63,7303.2×32026-03-25
St Luke'S Nampa Medical Center Nampa$63,7303.2×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$63,7303.3×32026-03-25
St Luke'S Jerome Jerome$66,5953.4×22026-03-25
St Luke'S Wood River Medical Center Ketchum$66,5953.4×22026-03-25

Questions

How much do insurers pay for shoulder replacement in Idaho?

17 Idaho hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 15 hospitals is $19,603, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.