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Prov Sacred Hrt Med Ctr & Childs Hosp.: what a joint replacement costs

Spokane, WA 99204 · CMS Certification Number 500054. 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., same ZIP
Outpatient here
$13,150
307 Medicare cases, APC 5115
Inpatient here
$16,771
17 Medicare stays, MS-DRG 470

Medicare prices at Prov Sacred Hrt Med Ctr & Childs Hosp.

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,771$86,5325.2×$13,150
Shoulder replacement———$17,956
Hip replacement after a fracture (DRG 522)$20,575$77,8543.8×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 615 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Prov Sacred Hrt Med Ctr & Childs Hosp. for a knee or hip replacement?

In 2024 Medicare paid Prov Sacred Hrt Med Ctr & Childs Hosp. an average of $16,771 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $13,150 per outpatient case (APC 5115, 307 cases).

What is Prov Sacred Hrt Med Ctr & Childs Hosp.'s list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,532, 5.2× 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 Prov Sacred Hrt Med Ctr & Childs Hosp.?

Yes for Medicare facility payments. Northwest Orthopaedic Specialists, P.S., an orthopedic surgery center same ZIP away, is paid about $9,452 by Medicare for a knee replacement (CPT 27447), $7,319 less than an inpatient stay at Prov Sacred Hrt Med Ctr & Childs Hosp.. Not every patient is a surgery-center candidate.

How does Prov Sacred Hrt Med Ctr & Childs Hosp. compare with other Washington hospitals?

Medicare paid Prov Sacred Hrt Med Ctr & Childs Hosp. less than 54% of the 26 Washington hospitals that report inpatient hip or knee replacement.