Price AtlasInteractive atlas · All states · techysurgeon.comSkagit 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.
Medicare prices at Skagit Valley Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,292 | $80,452 | 4.7× | $13,249 |
| Shoulder replacement | — | — | — | $18,798 |
| Hip replacement after a fracture (DRG 522) | $19,418 | $96,458 | 5.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,305 | 1.6× | $22,100–$41,198 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Premera Blue Cross | $41,198 | 2.4× | 1 |
| Regence BlueShield | $28,579 | 1.7× | 1 |
| Kaiser Permanente | $26,031 | 1.5× | 1 |
| UnitedHealthcare | $22,100 | 1.3× | 1 |
From the hospital's price-transparency file (2026-03-26); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-26); commercial plans, dollar-amount contracts only.
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 the average total payment to Skagit Valley Hospital for an inpatient hip or knee replacement stay was $17,292 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Skagit Valley Hospital's average total payment per Medicare stay is higher than 62% of the 26 Washington hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Skagit Valley Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,305 across 4 insurers, ranging from $22,100 to $41,198.