Price AtlasInteractive atlas · All states · techysurgeon.comSt 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.
Medicare prices at St Anthony Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,901 | 2.7× | $29,468–$51,677 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Regence BlueShield | $51,677 | 3.4× | 1 |
| UnitedHealthcare | $44,675 | 2.9× | 1 |
| Premera Blue Cross | $43,493 | 2.8× | 1 |
| First Choice | $42,931 | 2.8× | 1 |
| Aetna | $41,901 | 2.7× | 1 |
| Uniform Medical Plan | $40,686 | 2.7× | 1 |
| Kaiser Permanente | $39,897 | 2.6× | 1 |
| Cigna | $36,315 | 2.4× | 1 |
| Sound Family Medicine | $29,468 | 1.9× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
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 the average total payment to St Anthony Hospital for an inpatient hip or knee replacement stay was $15,283 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
St Anthony Hospital's average total payment per Medicare stay is lower than 92% of the 26 Washington hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Anthony 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 $41,901 across 9 insurers, ranging from $29,468 to $51,677.