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Confluence Health Hospital: what a joint replacement costs

Wenatchee, WA 98807 · CMS Certification Number 500016. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,931
Medicare allowed amount, 427 cases, APC 5115
Inpatient here
$17,057
Avg total payment (incl. patient share), 37 Medicare stays, MS-DRG 470

Medicare prices at Confluence Health Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,057$76,2294.5×$13,931
Shoulder replacement———$19,690
Hip replacement after a fracture (DRG 522)$17,683$86,2834.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$29,6501.7×$27,502–$31,7992
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Community Health Network Of Wa$31,7991.9×1
Premera Blue Cross$27,5021.6×1

From the hospital's price-transparency file (2026-04-21); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-21); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 198 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Confluence Health Hospital for a knee or hip replacement?

In 2024 the average total payment to Confluence Health Hospital for an inpatient hip or knee replacement stay was $17,057 (MS-DRG 470, 37 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,931 per outpatient case (APC 5115, 427 cases).

What is Confluence Health Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $76,229, 4.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Confluence Health Hospital compare with other Washington hospitals?

Confluence Health Hospital's average total payment per Medicare stay is higher than 54% of the 26 Washington hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Confluence Health Hospital 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 $29,650 across 2 insurers, ranging from $27,502 to $31,799.