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Multicare Deaconess Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,452
Northwest Orthopaedic Specialists, P.S., 1.3 mi
Outpatient here
$12,707
Medicare allowed amount, 168 cases, APC 5115
Inpatient here
$16,785
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Multicare Deaconess Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,785$104,8556.2×$12,707
Shoulder replacement———$17,764

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$40,4582.4×$24,010–$43,3348
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Regence BlueShield$43,3342.6×1
Aetna$42,9142.6×1
Kaiser Permanente$41,8682.5×1
Premera Blue Cross$40,5892.4×1
UnitedHealthcare$40,3282.4×1
Cigna$37,9252.3×1
Community Health Plan of Washington$29,2501.7×1
First Choice$24,0101.4×1

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.

Quality

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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Questions

How much does Medicare pay Multicare Deaconess Hospital for a knee or hip replacement?

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).

What is Multicare Deaconess Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Multicare Deaconess Hospital?

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.

How does Multicare Deaconess Hospital compare with other Washington hospitals?

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.

What do commercial insurers pay Multicare Deaconess Hospital 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 $40,458 across 8 insurers, ranging from $24,010 to $43,334.