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Skagit Valley Hospital: what a joint replacement costs

Mount Vernon, WA 98274 · CMS Certification Number 500003. 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
$9,864
Helen Holm Pumphrey Surgery Center, 12.7 mi
Outpatient here
$13,249
251 Medicare cases, APC 5115
Inpatient here
$17,292
11 Medicare stays, MS-DRG 470

Medicare prices at Skagit Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,292$80,4524.7×$13,249
Shoulder replacement———$18,798
Hip replacement after a fracture (DRG 522)$19,418$96,4585.0×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 234 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Skagit Valley Hospital for a knee or hip replacement?

In 2024 Medicare paid Skagit Valley Hospital an average of $17,292 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $13,249 per outpatient case (APC 5115, 251 cases).

What is Skagit Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,452, 4.7× 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 Skagit Valley Hospital?

Yes for Medicare facility payments. Helen Holm Pumphrey Surgery Center, an orthopedic surgery center 12.7 mi away, is paid about $9,864 by Medicare for a knee replacement (CPT 27447), $7,428 less than an inpatient stay at Skagit Valley Hospital. Not every patient is a surgery-center candidate.

How does Skagit Valley Hospital compare with other Washington hospitals?

Medicare paid Skagit Valley Hospital more than 62% of the 26 Washington hospitals that report inpatient hip or knee replacement.