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Providence St Mary Medical Center: what a joint replacement costs

Walla Walla, WA 99362 · CMS Certification Number 500002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$9,211
Walla Walla Clinic, same ZIP
Outpatient here
$14,053
182 Medicare cases, APC 5115
Inpatient here
$14,925
21 Medicare stays, MS-DRG 470

Medicare prices at Providence St Mary Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,925$68,1514.6×$14,053
Shoulder replacement———$19,983
Hip replacement after a fracture (DRG 522)$17,911$69,4843.9×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 146 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Providence St Mary Medical Center for a knee or hip replacement?

In 2024 Medicare paid Providence St Mary Medical Center an average of $14,925 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $14,053 per outpatient case (APC 5115, 182 cases).

What is Providence St Mary Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,151, 4.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Providence St Mary Medical Center?

Yes for Medicare facility payments. Walla Walla Clinic, an orthopedic surgery center same ZIP away, is paid about $9,211 by Medicare for a knee replacement (CPT 27447), $5,714 less than an inpatient stay at Providence St Mary Medical Center. Not every patient is a surgery-center candidate.

How does Providence St Mary Medical Center compare with other Washington hospitals?

Medicare paid Providence St Mary Medical Center less than 96% of the 26 Washington hospitals that report inpatient hip or knee replacement.