CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Steele Memorial Medical Center

Billing Code: 470 (MS-DRG)

No verified fair price for this procedure here

This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.

modeled estimate · not a bill or quote

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor	$40,777	290%
Blue Cross Blue Shieldmajor	$5,385 - $42,924	38%
Aetnamajor	$2,732 - $40,777	19%
Cignamajor	$39,576	282%
SelectHealth	$5,332 - $40,777	38%
+ 6 smaller / regional plans	$5,279 - $42,924

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 32,193), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Steele Memorial Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Steele Memorial Medical Center

Compare: Hip or knee replacement (inpatient stay) at other ID hospitals

Idaho Falls Community Hospital, LLC · Idaho Falls $14,117
Northwest Specialty Hospital · Post Falls $14,216
Mountain View Hospital · Idaho Falls $15,322
Kootenai Health · Coeur D'Alene $16,232
St Luke's Nampa Medical Center · Nampa $17,270
Madison Memorial Hospital · Rexburg $17,726
West Valley Medical Center · Caldwell $17,800
Treasure Valley Hospital · Boise $19,045

Insurance negotiated median for the same procedure, sorted lowest first.