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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 Medicare allowed amount
Hospital, overnight
$15,269
Median avg total payment (incl. patient share), 7 hospitals

Idaho has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 the median average total payment to Idaho hospitals was $15,269 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 7 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,828 per outpatient case. An orthopedic surgery center is paid about $8,634 for a knee.

Which Idaho hospitals have the lowest Medicare payment for a joint replacement?

Mountain View Hospital ($13,353), Kootenai Health ($14,458), St Luke's Regional Medical Center ($14,854) (average total payment per inpatient stay, patient share included).

What do Idaho hospitals list for a joint replacement?

The median list (chargemaster) price is $72,763, about 4.8× the median average total payment for a Medicare stay.

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.