Spokane, WA 99210 · CMS Certification Number 500044. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,785 | $104,855 | 6.2× | $12,707 |
| Shoulder replacement | — | — | — | $17,764 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,458 | 2.4× | $24,010–$43,334 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Regence BlueShield | $43,334 | 2.6× | 1 |
| Aetna | $42,914 | 2.6× | 1 |
| Kaiser Permanente | $41,868 | 2.5× | 1 |
| Premera Blue Cross | $40,589 | 2.4× | 1 |
| UnitedHealthcare | $40,328 | 2.4× | 1 |
| Cigna | $37,925 | 2.3× | 1 |
| Community Health Plan of Washington | $29,250 | 1.7× | 1 |
| First Choice | $24,010 | 1.4× | 1 |
From the hospital's price-transparency file (2026-08-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-27); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 388 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Multicare Deaconess Hospital for an inpatient hip or knee replacement stay was $16,785 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,707 per outpatient case (APC 5115, 168 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,855, 6.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northwest Orthopaedic Specialists, P.S., an orthopedic surgery center 1.3 mi away, is paid about $9,452 by Medicare for a knee replacement (CPT 27447), $7,333 less than an inpatient stay at Multicare Deaconess Hospital. Not every patient is a surgery-center candidate.
Multicare Deaconess Hospital's average total payment per Medicare stay is lower than 50% of the 26 Washington hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,458 across 8 insurers, ranging from $24,010 to $43,334.