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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,283 | $133,031 | 8.7× | $13,361 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,691 | $137,235 | 8.2× | — |
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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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).
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.
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.
Medicare paid St Anthony Hospital less than 92% of the 26 Washington hospitals that report inpatient hip or knee replacement.