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Multicare Valley Hospital: what a joint replacement costs

Spokane, WA 99216 · CMS Certification Number 500119. 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
Anesis Spokane ASC, same ZIP
Outpatient here
$12,705
167 Medicare cases, APC 5115
Inpatient here
$18,820
12 Medicare stays, MS-DRG 470

Medicare prices at Multicare Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,820$102,7435.5×$12,705
Shoulder replacement———$18,661
Hip replacement after a fracture (DRG 522)$16,802$80,9254.8×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 123 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Multicare Valley Hospital for a knee or hip replacement?

In 2024 Medicare paid Multicare Valley Hospital an average of $18,820 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $12,705 per outpatient case (APC 5115, 167 cases).

What is Multicare Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,743, 5.5× 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 Multicare Valley Hospital?

Yes for Medicare facility payments. Anesis Spokane ASC, an orthopedic surgery center same ZIP away, is paid about $9,452 by Medicare for a knee replacement (CPT 27447), $9,368 less than an inpatient stay at Multicare Valley Hospital. Not every patient is a surgery-center candidate.

How does Multicare Valley Hospital compare with other Washington hospitals?

Medicare paid Multicare Valley Hospital more than 85% of the 26 Washington hospitals that report inpatient hip or knee replacement.