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Evergreenhealth Medical Center: what a joint replacement costs

Kirkland, WA 98034 · CMS Certification Number 500124. 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
$9,864
Proliance Eastside Surgery Center, same ZIP
Outpatient here
$13,232
252 Medicare cases, APC 5115
Inpatient here
$15,644
49 Medicare stays, MS-DRG 470

Medicare prices at Evergreenhealth Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,644$73,4974.7×$13,232
Shoulder replacement———$18,987
Hip replacement after a fracture (DRG 522)$17,075$88,5375.2×—

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 318 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Evergreenhealth Medical Center for a knee or hip replacement?

In 2024 Medicare paid Evergreenhealth Medical Center an average of $15,644 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $13,232 per outpatient case (APC 5115, 252 cases).

What is Evergreenhealth Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,497, 4.7× 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 Evergreenhealth Medical Center?

Yes for Medicare facility payments. Proliance Eastside Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,864 by Medicare for a knee replacement (CPT 27447), $5,780 less than an inpatient stay at Evergreenhealth Medical Center. Not every patient is a surgery-center candidate.

How does Evergreenhealth Medical Center compare with other Washington hospitals?

Medicare paid Evergreenhealth Medical Center less than 85% of the 26 Washington hospitals that report inpatient hip or knee replacement.