facebook tracking Revision of hip or knee replacement without complications cost in Washington: 9 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in Washington

What 9 hospitals in Washington charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $114,728 Hospital list price billed
Average payment $24,655 Medicare + patient + other payers
Medicare paid $20,626 Average per stay
State rank #30 of 42 1 = lowest average payment

Hospitals in Washington billed an average of $114,728 for revision of hip or knee replacement without complications, about 4.7 times the average total payment of $24,655. That payment is 3% above the U.S. average of $23,925.

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 $24,655Billed $114,728

About 21¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: revision of hip or knee replacement without 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
Swedish Medical CenterSeattle 40 $122,619 $30,914 $20,547
Overlake Hospital Medical CenterBellevue 25 $154,834 $21,076 $19,444
Providence St Peter HospitalOlympia 17 $103,751 $23,401 $19,925
Kadlec Regional Medical CenterRichland 16 $92,580 $22,187 $20,489
University of Washington Medical CtrSeattle 14 $101,898 $26,017 $23,581
Providence Holy Family HospitalSpokane 14 $120,345 $21,364 $19,712
Skagit Valley HospitalMt Vernon 13 $123,633 $22,333 $20,664
Island HospitalAnacortes 13 $71,059 $23,218 $21,712
Valley Medical CenterRenton 12 $96,023 $22,640 $20,930
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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

Overlake Hospital Medical CenterBellevue, WA$21,076
Providence Holy Family HospitalSpokane, WA$21,364
Kadlec Regional Medical CenterRichland, WA$22,187
Skagit Valley HospitalMt Vernon, WA$22,333
Valley Medical CenterRenton, WA$22,640

Highest

Swedish Medical CenterSeattle, WA$30,914
University of Washington Medical CtrSeattle, WA$26,017
Providence St Peter HospitalOlympia, WA$23,401
Island HospitalAnacortes, WA$23,218
Valley Medical CenterRenton, WA$22,640

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in Washington?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 9 hospitals in Washington was billed at $114,728 on average, while the average total payment was $24,655, of which Medicare paid $20,626. 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 4.7 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.