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Swedish Medical Center: what a joint replacement costs

Seattle, WA 98122 · CMS Certification Number 500027. 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
$9,864
Seattle Hand Surgery, same ZIP
Outpatient here
$13,890
Medicare allowed amount, 790 cases, APC 5115
Inpatient here
$19,481
Avg total payment (incl. patient share), 64 Medicare stays, MS-DRG 470

Medicare prices at Swedish Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,481$112,8145.8×$13,890
Shoulder replacement$24,404$97,8264.0×$19,686
Hip replacement after a fracture (DRG 522)$21,409$114,0515.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$52,6822.7×$21,974–$65,3497
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Premera Blue Cross$65,3493.4×1
First Choice$56,7262.9×1
Cigna$53,5052.7×1
UnitedHealthcare$52,6822.7×1
Providence Health Plan$34,2051.8×1
Kaiser Permanente$29,2821.5×1
Aetna$21,9741.1×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 697 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Swedish Medical Center for a knee or hip replacement?

In 2024 the average total payment to Swedish Medical Center for an inpatient hip or knee replacement stay was $19,481 (MS-DRG 470, 64 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,890 per outpatient case (APC 5115, 790 cases).

What is Swedish Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $112,814, 5.8× 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 Swedish Medical Center?

Yes for Medicare facility payments. Seattle Hand Surgery, an orthopedic surgery center same ZIP away, is paid about $9,864 by Medicare for a knee replacement (CPT 27447), $9,617 less than an inpatient stay at Swedish Medical Center. Not every patient is a surgery-center candidate.

How does Swedish Medical Center compare with other Washington hospitals?

Swedish Medical Center's average total payment per Medicare stay is higher than 88% of the 26 Washington hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Swedish Medical Center 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 $52,682 across 7 insurers, ranging from $21,974 to $65,349.