CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Great Falls Clinic Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,350
about 1.6× the $14,044 Medicare rate · typically $17,087–$27,182
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,269
Above the fair price
about $4,919 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $22,350 This hospital $27,269

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Highest price of the 4 MT hospitals we have prices for — worth calling around.

Cheapest $15,091 Priciest $27,269

Black dot = this hospital, among the 4 MT hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $22,350 (about 1.6× the $14,044 Medicare rate). Great Falls Clinic Hospital charges insurers about $27,269 — above the fair price. Located in Great Falls, MT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,350. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Humana UnitedHealthcareAetnaCignaKaiser 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 $14,352 - $32,292 102%
Humanamajor $14,352 102%
+ 2 smaller / regional plans $27,269 - $31,574
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3010 15Th Avenue South, Great Falls, MT 59405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals