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Virginia Mason Medical Center: what a joint replacement costs

Seattle, WA 98101 · CMS Certification Number 500005. 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
Seattle Surgery Center, 0.7 mi
Outpatient here
$12,872
201 Medicare cases, APC 5115
Inpatient here
$19,806
51 Medicare stays, MS-DRG 470

Medicare prices at Virginia Mason Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,806$65,0093.3×$12,872
Shoulder replacement$27,742$92,2213.3×$18,234
Hip replacement after a fracture (DRG 522)$23,451$82,1223.5×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 336 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Virginia Mason Medical Center for a knee or hip replacement?

In 2024 Medicare paid Virginia Mason Medical Center an average of $19,806 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $12,872 per outpatient case (APC 5115, 201 cases).

What is Virginia Mason Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,009, 3.3× 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 Virginia Mason Medical Center?

Yes for Medicare facility payments. Seattle Surgery Center, an orthopedic surgery center 0.7 mi away, is paid about $9,864 by Medicare for a knee replacement (CPT 27447), $9,942 less than an inpatient stay at Virginia Mason Medical Center. Not every patient is a surgery-center candidate.

How does Virginia Mason Medical Center compare with other Washington hospitals?

Medicare paid Virginia Mason Medical Center more than 96% of the 26 Washington hospitals that report inpatient hip or knee replacement.