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Providence 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.

Surgery center nearby
$9,864
Kemp Surgery Center, same ZIP
Outpatient here
$13,311
217 Medicare cases, APC 5115
Inpatient here
$16,235
51 Medicare stays, MS-DRG 470

Medicare prices at Providence Regional Medical Center Everett

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,235$82,1675.1×$13,311
Shoulder replacement$23,845$90,1903.8×$18,987
Hip replacement after a fracture (DRG 522)$17,811$118,2686.6×—

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

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Providence Regional Medical Center Everett for a knee or hip replacement?

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).

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× 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 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?

Medicare paid Providence Regional Medical Center Everett less than 69% of the 26 Washington hospitals that report inpatient hip or knee replacement.