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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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
Washington requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Providence Regional Medical Center Everett an average of $16,235 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $13,311 per outpatient case (APC 5115, 217 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,167, 5.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Providence Regional Medical Center Everett less than 69% of the 26 Washington hospitals that report inpatient hip or knee replacement.