CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Madison Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,697
about 1.3× the $14,044 Medicare rate · typically $16,733–$21,468
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,726
About the fair price
about $29 over the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $17,697 This hospital $17,726

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ID hospitals compared.

Cheapest $14,117 Priciest $37,301

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,697 (about 1.3× the $14,044 Medicare rate). Madison Memorial Hospital charges insurers about $17,726 — about the fair price. Located in Rexburg, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $17,726 - $30,207 126%
Aetnamajor $17,371 - $17,726 124%
Moda Health $25,000 178%
Molina $17,726 126%
SelectHealth $17,903 127%
+ 4 smaller / regional plans $17,726 - $28,361
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 450 East Main Street, Rexburg, ID 83440
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals