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St Anthony Hospital: what a joint replacement costs

Gig Harbor, WA 98332 · CMS Certification Number 500151. 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
$9,875
Tacoma Ambulatory Surgery Center, 10.5 mi
Outpatient here
$13,361
202 Medicare cases, APC 5115
Inpatient here
$15,283
15 Medicare stays, MS-DRG 470

Medicare prices at St Anthony Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,283$133,0318.7×$13,361
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,691$137,2358.2×—

Quality

Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 80 beds

Washington requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Anthony Hospital for a knee or hip replacement?

In 2024 Medicare paid St Anthony Hospital an average of $15,283 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $13,361 per outpatient case (APC 5115, 202 cases).

What is St Anthony Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $133,031, 8.7× 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 St Anthony Hospital?

Yes for Medicare facility payments. Tacoma Ambulatory Surgery Center, an orthopedic surgery center 10.5 mi away, is paid about $9,875 by Medicare for a knee replacement (CPT 27447), $5,408 less than an inpatient stay at St Anthony Hospital. Not every patient is a surgery-center candidate.

How does St Anthony Hospital compare with other Washington hospitals?

Medicare paid St Anthony Hospital less than 92% of the 26 Washington hospitals that report inpatient hip or knee replacement.