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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,820 | $102,743 | 5.5× | $12,705 |
| Shoulder replacement | — | — | — | $18,661 |
| Hip replacement after a fracture (DRG 522) | $16,802 | $80,925 | 4.8× | — |
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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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).
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.
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.
Medicare paid Multicare Valley Hospital more than 85% of the 26 Washington hospitals that report inpatient hip or knee replacement.