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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,644 | $73,497 | 4.7× | $13,232 |
| Shoulder replacement | — | — | — | $18,987 |
| Hip replacement after a fracture (DRG 522) | $17,075 | $88,537 | 5.2× | — |
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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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).
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.
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.
Medicare paid Evergreenhealth Medical Center less than 85% of the 26 Washington hospitals that report inpatient hip or knee replacement.