Richland, WA 99352 · CMS Certification Number 500058. 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 | $15,931 | $84,552 | 5.3× | $13,115 |
| Shoulder replacement | $20,806 | $93,721 | 4.5× | $18,661 |
| Hip replacement after a fracture (DRG 522) | $17,440 | $86,251 | 4.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,545 | 2.0× | $16,027–$51,157 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $51,157 | 3.2× | 1 |
| Premera Blue Cross | $31,545 | 2.0× | 1 |
| Kaiser Permanente | $16,027 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 141 beds
Washington requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Kadlec Regional Medical Center for an inpatient hip or knee replacement stay was $15,931 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,115 per outpatient case (APC 5115, 317 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $84,552, 5.3× 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. Kadlec Regional Medical Center, an orthopedic surgery center same ZIP away, is paid about $8,852 by Medicare for a knee replacement (CPT 27447), $7,079 less than an inpatient stay at Kadlec Regional Medical Center. Not every patient is a surgery-center candidate.
Kadlec Regional Medical Center's average total payment per Medicare stay is lower than 73% 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 $31,545 across 3 insurers, ranging from $16,027 to $51,157.