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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
326 Medicare cases, APC 5115
Inpatient here
$18,563
56 Medicare stays, MS-DRG 470

Medicare prices at St Michael Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid St Michael Medical Center an average of $18,563 per inpatient hip or knee replacement stay (MS-DRG 470, 56 stays) and $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× what Medicare paid. 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?

Medicare paid St Michael Medical Center more than 81% of the 26 Washington hospitals that report inpatient hip or knee replacement.