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Idaho: one knee, three prices

What Medicare pays Idaho hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,634
Median Medicare knee rate, 13 orthopedic surgery centers
Hospital, same day
$11,828
Median outpatient allowed
Hospital, overnight
$15,269
Median inpatient paid, 7 hospitals

Idaho has no certificate-of-need law.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Mountain View HospitalIdaho Falls$13,353$42,919$11,775
Kootenai HealthCoeur D'Alene$14,458$72,763$12,164
St Luke's Regional Medical CenterBoise$14,854$91,134$11,156
Saint Alphonsus Medical Center - NampaNampa$15,269$62,003$12,720
Eastern Idaho Regional Medical CenterIdaho Falls$15,334$122,281$11,681
Saint Alphonsus Regional Medical CenterBoise$16,226$57,699$12,516
Portneuf Medical CenterPocatello$19,633$148,842$12,418

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Portneuf Medical CenterPocatello$19,633$148,842$12,418
Saint Alphonsus Regional Medical CenterBoise$16,226$57,699$12,516
Eastern Idaho Regional Medical CenterIdaho Falls$15,334$122,281$11,681
Saint Alphonsus Medical Center - NampaNampa$15,269$62,003$12,720
St Luke's Regional Medical CenterBoise$14,854$91,134$11,156
Kootenai HealthCoeur D'Alene$14,458$72,763$12,164
Mountain View HospitalIdaho Falls$13,353$42,919$11,775

Every Idaho hospital (15)

Orthopedic surgery centers (13)

Questions

How much does Medicare pay for a knee replacement in Idaho?

In 2024 Medicare paid Idaho hospitals a median $15,269 per inpatient hip or knee replacement stay (MS-DRG 470, 7 hospitals) and a median $11,828 per outpatient case. An orthopedic surgery center is paid about $8,634 for a knee.

Which Idaho hospitals does Medicare pay least for a joint replacement?

Mountain View Hospital ($13,353), Kootenai Health ($14,458), St Luke's Regional Medical Center ($14,854).

What do Idaho hospitals list for a joint replacement?

The median list (chargemaster) price is $72,763, about 4.8× what Medicare pays.

Does Idaho have a certificate-of-need law?

Idaho has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1983.