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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Skagit Valley Hospital more than 62% of the 26 Washington hospitals that report inpatient hip or knee replacement.