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St Clare Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,875
Lakewood Surgery Center, same ZIP
Outpatient here
$13,291
193 Medicare cases, APC 5115
Inpatient here
$17,946
14 Medicare stays, MS-DRG 470

Medicare prices at St Clare Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,946$116,8506.5×$13,291
Shoulder replacement———$19,155

Quality

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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Questions

How much does Medicare pay St Clare Hospital for a knee or hip replacement?

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).

What is St Clare Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near St Clare Hospital?

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.

How does St Clare Hospital compare with other Washington hospitals?

Medicare paid St Clare Hospital more than 69% of the 26 Washington hospitals that report inpatient hip or knee replacement.