Price AtlasInteractive atlas · All states · techysurgeon.comMulticare 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.
Medicare prices at Multicare Valley Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,684 | 1.9× | $23,299–$43,593 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Regence BlueShield | $43,593 | 2.3× | 1 |
| Kaiser Permanente | $41,115 | 2.2× | 1 |
| UnitedHealthcare | $40,328 | 2.1× | 1 |
| Cigna | $37,925 | 2.0× | 1 |
| Aetna | $35,444 | 1.9× | 1 |
| Premera Blue Cross | $35,125 | 1.9× | 1 |
| Community Health Plan of Washington | $28,859 | 1.5× | 1 |
| First Choice | $23,299 | 1.2× | 1 |
From the hospital's price-transparency file (2026-08-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-27); commercial plans, dollar-amount contracts only.
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 the average total payment to Multicare Valley Hospital for an inpatient hip or knee replacement stay was $18,820 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Multicare Valley Hospital's average total payment per Medicare stay is higher than 85% of the 26 Washington hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Multicare Valley 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 $36,684 across 8 insurers, ranging from $23,299 to $43,593.