Price AtlasInteractive atlas · All states · techysurgeon.comProvidence Regional Medical Center Everett: what a joint replacement costs
Everett, WA 98201 · CMS Certification Number 500014. 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 Providence Regional Medical Center Everett
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,235 | $82,167 | 5.1× | $13,311 |
| Shoulder replacement | $23,845 | $90,190 | 3.8× | $18,987 |
| Hip replacement after a fracture (DRG 522) | $17,811 | $118,268 | 6.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $44,158 | 2.7× | $27,014–$57,791 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $57,791 | 3.6× | 1 |
| Premera Blue Cross | $46,528 | 2.9× | 1 |
| First Choice | $44,498 | 2.7× | 1 |
| UnitedHealthcare | $44,158 | 2.7× | 1 |
| Aetna | $40,152 | 2.5× | 1 |
| Providence Health Plan | $39,906 | 2.5× | 1 |
| Kaiser Permanente | $27,014 | 1.7× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 268 beds
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Questions
How much does Medicare pay Providence Regional Medical Center Everett for a knee or hip replacement?
In 2024 the average total payment to Providence Regional Medical Center Everett for an inpatient hip or knee replacement stay was $16,235 (MS-DRG 470, 51 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,311 per outpatient case (APC 5115, 217 cases).
What is Providence Regional Medical Center Everett's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,167, 5.1× 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 Providence Regional Medical Center Everett?
Yes for Medicare facility payments. Kemp Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,864 by Medicare for a knee replacement (CPT 27447), $6,371 less than an inpatient stay at Providence Regional Medical Center Everett. Not every patient is a surgery-center candidate.
How does Providence Regional Medical Center Everett compare with other Washington hospitals?
Providence Regional Medical Center Everett's average total payment per Medicare stay is lower than 69% of the 26 Washington hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence Regional Medical Center Everett 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 $44,158 across 7 insurers, ranging from $27,014 to $57,791.