Lakewood, WA 98499 · CMS Certification Number 500021. 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 | $17,946 | $116,850 | 6.5× | $13,291 |
| Shoulder replacement | — | — | — | $19,155 |
Complications after hip or knee replacement: 5.5% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 105 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 Medicare paid St Clare Hospital an average of $17,946 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $13,291 per outpatient case (APC 5115, 193 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,850, 6.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Lakewood Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,875 by Medicare for a knee replacement (CPT 27447), $8,071 less than an inpatient stay at St Clare Hospital. Not every patient is a surgery-center candidate.
Medicare paid St Clare Hospital more than 69% of the 26 Washington hospitals that report inpatient hip or knee replacement.