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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,771 | $86,532 | 5.2× | $13,150 |
| Shoulder replacement | — | — | — | $17,956 |
| Hip replacement after a fracture (DRG 522) | $20,575 | $77,854 | 3.8× | — |
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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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).
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.
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.
Medicare paid Prov Sacred Hrt Med Ctr & Childs Hosp. less than 54% of the 26 Washington hospitals that report inpatient hip or knee replacement.