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Hip replacement in Washington: what insurers pay

Posted commercial rates at 15 Washington hospitals, each next to its own Medicare base rate.

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CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Salmon Creek Medical Center Vancouver$26,1001.8×52026-04-01
Swedish Issaquah Issaquah$28,4981.9×42026-04-01
Swedish Edmonds Hospital Edmonds$29,3282.0×42026-04-01
Overlake Hospital Medical Center Bellevue$35,5332.4×52026-04-01
St Clare Hospital Lakewood$44,0422.9×52026-02-28
St Anthony Hospital Gig Harbor$44,0422.9×52026-02-28
St Joseph Medical Center Tacoma$44,0422.9×52026-02-28
St Francis Community Hospital Federal Way$44,0423.0×52026-02-28
St Anne Hospital Burien$44,8733.0×42026-02-28
Swedish Medical Center / Cherry Hill Seattle$46,6743.1×42026-04-01
Swedish Medical Center Seattle$46,8933.1×42026-04-01
Tacoma General Allenmore Hospital Tacoma$60,0284.0×52026-08-27
Multicare Auburn Medical Center Auburn$60,0284.0×52026-08-27
Multicare Covington Medical Center Covington$60,0284.0×52026-08-27
Multicare Good Samaritan Hospital Puyallup$60,2204.0×42026-08-27

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$37,9902.4×62026-04-01
Swedish Edmonds Hospital Edmonds$38,7672.5×52026-04-01
St Anne Hospital Burien$41,2462.5×52026-02-28
Legacy Salmon Creek Medical Center Vancouver$41,4002.7×42026-04-01
St Clare Hospital Lakewood$42,6972.6×62026-02-28
St Anthony Hospital Gig Harbor$42,6972.6×62026-02-28
St Joseph Medical Center Tacoma$42,6972.6×62026-02-28
St Francis Community Hospital Federal Way$42,6972.6×62026-02-28
Multicare Good Samaritan Hospital Puyallup$42,9482.6×62026-08-27
Tacoma General Allenmore Hospital Tacoma$42,9482.6×62026-08-27
Multicare Auburn Medical Center Auburn$42,9482.7×62026-08-27
Multicare Covington Medical Center Covington$42,9482.7×62026-08-27
Swedish Issaquah Issaquah$45,4782.8×42026-04-01
Swedish Medical Center Seattle$52,6823.3×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$52,6823.3×52026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$64,3912.5×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$66,8692.8×42026-04-01
Swedish Edmonds Hospital Edmonds$67,3322.8×52026-04-01
St Anne Hospital Burien$71,5042.8×52026-02-28
Tacoma General Allenmore Hospital Tacoma$73,6362.9×62026-08-27
Multicare Auburn Medical Center Auburn$73,6362.9×62026-08-27
Multicare Covington Medical Center Covington$73,6362.9×62026-08-27
St Clare Hospital Lakewood$74,0202.9×62026-02-28
St Anthony Hospital Gig Harbor$74,0202.9×62026-02-28
St Joseph Medical Center Tacoma$74,0202.9×62026-02-28
St Francis Community Hospital Federal Way$74,0202.9×62026-02-28
Multicare Good Samaritan Hospital Puyallup$74,0542.9×62026-08-27
Swedish Issaquah Issaquah$78,7913.1×42026-04-01
Swedish Medical Center Seattle$92,7503.6×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$92,7503.6×52026-04-01

Questions

How much do insurers pay for hip replacement in Washington?

15 Washington hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 15 hospitals is $44,042, 3.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.