Price AtlasInteractive atlas · All states · techysurgeon.comSt 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.
Medicare prices at St Clare Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,946 | $116,850 | 6.5× | $13,291 |
| Shoulder replacement | — | — | — | $19,155 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,901 | 2.3× | $31,633–$46,608 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Regence BlueShield | $46,608 | 2.6× | 1 |
| UnitedHealthcare | $44,675 | 2.5× | 1 |
| Premera Blue Cross | $43,493 | 2.4× | 1 |
| First Choice | $42,931 | 2.4× | 1 |
| Aetna | $41,901 | 2.3× | 1 |
| Kaiser Permanente | $39,897 | 2.2× | 1 |
| Uniform Medical Plan | $36,422 | 2.0× | 1 |
| Cigna | $36,315 | 2.0× | 1 |
| Sound Family Medicine | $31,633 | 1.8× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay St Clare Hospital for a knee or hip replacement?
In 2024 the average total payment to St Clare Hospital for an inpatient hip or knee replacement stay was $17,946 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
St Clare Hospital's average total payment per Medicare stay is higher than 69% of the 26 Washington hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Clare 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 $41,901 across 9 insurers, ranging from $31,633 to $46,608.