Vancouver, WA 98668 · CMS Certification Number 500050. 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 | $18,101 | $80,384 | 4.4× | $13,548 |
| Shoulder replacement | $23,171 | $100,952 | 4.4× | $17,975 |
| Hip replacement after a fracture (DRG 522) | $18,572 | $105,800 | 5.7× | — |
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 275 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Peacehealth Southwest Medical Cente an average of $18,101 per inpatient hip or knee replacement stay (MS-DRG 470, 121 stays) and $13,548 per outpatient case (APC 5115, 153 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,384, 4.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Vancouver Clinic Endoscopy Ctr, an orthopedic surgery center 0.5 mi away, is paid about $10,168 by Medicare for a knee replacement (CPT 27447), $7,933 less than an inpatient stay at Peacehealth Southwest Medical Cente. Not every patient is a surgery-center candidate.
Medicare paid Peacehealth Southwest Medical Cente more than 77% of the 26 Washington hospitals that report inpatient hip or knee replacement.