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St Michael Medical Center: what a joint replacement costs

Bremerton, WA 98310 · CMS Certification Number 500039. 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
$10,190
Franciscan Ambulatory Surgery Center at The Doctor, 6.9 mi
Outpatient here
$13,969
Medicare allowed amount, 326 cases, APC 5115
Inpatient here
$18,563
Avg total payment (incl. patient share), 56 Medicare stays, MS-DRG 470

Medicare prices at St Michael Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,563$116,0506.3×$13,969
Shoulder replacement———$19,736
Hip replacement after a fracture (DRG 522)$19,064$121,6626.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$48,4142.6×$45,569–$53,7073
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Kaiser Permanente$53,7072.9×1
Regence BlueShield$48,4142.6×1
Premera Blue Cross$45,5692.5×1

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: 3.9% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 297 beds

Washington requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to St Michael Medical Center for an inpatient hip or knee replacement stay was $18,563 (MS-DRG 470, 56 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,969 per outpatient case (APC 5115, 326 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,050, 6.3× 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 Michael Medical Center?

Yes for Medicare facility payments. Franciscan Ambulatory Surgery Center at The Doctor, an orthopedic surgery center 6.9 mi away, is paid about $10,190 by Medicare for a knee replacement (CPT 27447), $8,373 less than an inpatient stay at St Michael Medical Center. Not every patient is a surgery-center candidate.

How does St Michael Medical Center compare with other Washington hospitals?

St Michael Medical Center's average total payment per Medicare stay is higher than 81% of the 26 Washington hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay St Michael 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 $48,414 across 3 insurers, ranging from $45,569 to $53,707.