Olympia, WA 98506 · CMS Certification Number 500024. 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 | $17,373 | $109,952 | 6.3× | $13,285 |
| Shoulder replacement | — | — | — | $18,798 |
| Hip replacement after a fracture (DRG 522) | $19,542 | $105,186 | 5.4× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 340 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Providence St Peter Hospital an average of $17,373 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $13,285 per outpatient case (APC 5115, 292 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $109,952, 6.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Olympia Surgery Center, an orthopedic surgery center 7.5 mi away, is paid about $9,594 by Medicare for a knee replacement (CPT 27447), $7,779 less than an inpatient stay at Providence St Peter Hospital. Not every patient is a surgery-center candidate.
Medicare paid Providence St Peter Hospital more than 65% of the 26 Washington hospitals that report inpatient hip or knee replacement.