Kennewick, WA 99336 · CMS Certification Number 500053. 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 | $17,198 | $95,118 | 5.5× | $13,188 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $19,144 | $85,557 | 4.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,472 | 0.9× | $14,736–$34,084 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Lifewise | $34,084 | 2.0× | 1 |
| UnitedHealthcare | $30,930 | 1.8× | 1 |
| Centivo | $26,040 | 1.5× | 1 |
| Elevance/Anthem/Empire | $15,472 | 0.9× | 1 |
| Devoted | $15,178 | 0.9× | 1 |
| WPS Vacaa | $14,736 | 0.9× | 1 |
| WPS Vapc3 | $14,736 | 0.9× | 1 |
From the hospital's price-transparency file (2026-07-17); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-17); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 71 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Trios for an inpatient hip or knee replacement stay was $17,198 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,188 per outpatient case (APC 5115, 38 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,118, 5.5× 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. High Desert Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,852 by Medicare for a knee replacement (CPT 27447), $8,346 less than an inpatient stay at Trios. Not every patient is a surgery-center candidate.
Trios's average total payment per Medicare stay is higher than 58% 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 $15,472 across 7 insurers, ranging from $14,736 to $34,084.