facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Washington: 26 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Washington

What 26 hospitals in Washington charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $91,317 Hospital list price billed
Average payment $17,692 Medicare + patient + other payers
Medicare paid $14,413 Average per stay
State rank #37 of 48 1 = lowest average payment

Hospitals in Washington billed an average of $91,317 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.2 times the average total payment of $17,692. That payment is 2% above the U.S. average of $17,318.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $17,692Billed $91,317

About 19¢ was paid for every $1 hospitals in Washington billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Washington:

Washington hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications

Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
S W Washington Medical CenterVancouver 121 $80,384 $18,101 $14,059
Swedish Medical CenterSeattle 64 $112,814 $19,481 $16,072
St Michael Medical CenterBremerton 56 $116,050 $18,563 $14,660
Virginia Mason Medical CenterSeattle 51 $65,009 $19,806 $15,184
Providence Regional Medical Center EverettEverett 51 $82,167 $16,235 $13,455
University of Washington Medical CtrSeattle 50 $78,556 $19,591 $16,513
Peacehealth St Joseph Medical CenterBellingham 49 $79,306 $20,142 $13,871
Evergreenhealth Medical CenterKirkland 49 $73,497 $15,644 $13,482
Confluence Health HospitalWenatchee 37 $76,229 $17,057 $13,327
Grays Harbor Community HospitalAberdeen 37 $135,809 $16,471 $14,883
Tacoma General HospitalTacoma 32 $90,664 $17,960 $14,765
Providence St Peter HospitalOlympia 30 $109,952 $17,373 $14,283
Kadlec Regional Medical CenterRichland 26 $84,552 $15,931 $14,426
Overlake Hospital Medical CenterBellevue 23 $129,908 $15,766 $14,418
Providence St Mary Medical CenterWalla Walla 21 $68,151 $14,925 $13,371
Deaconess Medical CenterSpokane 18 $104,855 $16,785 $13,076
Providence Sacred Heart Medical CenterSpokane 17 $86,532 $16,771 $14,544
Peachealth St John Medical CenterLongview 16 $113,439 $16,430 $14,798
St Anthony HospitalGig Harbor 15 $133,031 $15,283 $13,651
St Clare HospitalLakewood 14 $116,850 $17,946 $13,118
Island HospitalAnacortes 12 $56,080 $16,549 $15,053
Yakima Valley Memorial HospitalYakima 12 $45,379 $15,690 $14,176
Good Samaritan Hospital & Rehab CenterPuyallup 12 $94,165 $15,644 $14,006
Valley Hospital & Medical CenterSpokane 12 $102,743 $18,820 $11,383
Skagit Valley HospitalMt Vernon 11 $80,452 $17,292 $15,515
Trios HealthKennewick 11 $95,118 $17,198 $14,990
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Lowest and highest payments in Washington

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Washington?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 26 hospitals in Washington was billed at $91,317 on average, while the average total payment was $17,692, of which Medicare paid $14,413. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Washington, average charges were 5.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.