Bellingham, WA 98225 · CMS Certification Number 500030. 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 | $20,142 | $79,306 | 3.9× | $13,913 |
| Shoulder replacement | $23,474 | $89,430 | 3.8× | $19,667 |
| Hip replacement after a fracture (DRG 522) | $19,508 | $113,691 | 5.8× | — |
Complications after hip or knee replacement: 2.6% (no different from the national rate). Readmissions: 4.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 253 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Peacehealth St Joseph Medical Center an average of $20,142 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $13,913 per outpatient case (APC 5115, 313 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,306, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Peacehealth Squalicum Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,864 by Medicare for a knee replacement (CPT 27447), $10,278 less than an inpatient stay at Peacehealth St Joseph Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Peacehealth St Joseph Medical Center more than 100% of the 26 Washington hospitals that report inpatient hip or knee replacement.