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Providence Holy Family Hospital: what a joint replacement costs

Spokane, WA 99208 · CMS Certification Number 500077. 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., 9.7 mi
Outpatient here
$13,188
Medicare allowed amount, 172 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Providence Holy Family Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,188
Shoulder replacement———$18,305
Hip replacement after a fracture (DRG 522)$16,983$81,0624.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,825—$26,366–$39,5777
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$39,577—1
UnitedHealthcare$39,321—1
Cigna$37,993—1
First Choice$37,825—1
Premera Blue Cross$36,203—1
Providence Health Plan$32,305—1
Kaiser Permanente$26,366—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.

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 272 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Providence Holy Family Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $13,188 per outpatient hip or knee replacement case (APC 5115, 172 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Providence Holy Family Hospital?

Yes for Medicare facility payments. Northwest Orthopaedic Specialists, P.S., an orthopedic surgery center 9.7 mi away, is paid about $9,452 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Providence Holy Family Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $37,825 across 7 insurers, ranging from $26,366 to $39,577.