Revision of Hip or Knee Replacement Without Cc/Mcc in Washington
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$103,751typical hospital bill
$22,640typical amount paid
$21,076–$30,914range paid across 9 hospitals
Washington hospitals billed Medicare a typical $103,751 for this stay in 2024, about 4.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Overlake Hospital Medical Center & Clinics | Bellevue | 25 | $154,834 | $21,076 | |
| Providence Holy Family Hospital | Spokane | 14 | $120,345 | $21,364 | |
| Kadlec Regional Medical Center | Richland | 16 | $92,580 | $22,187 | |
| Skagit Valley Hospital | Mount Vernon | 13 | $123,633 | $22,333 | |
| Valley Medical Center | Renton | 12 | $96,023 | $22,640 | |
| Island Hospital | Anacortes | 13 | $71,059 | $23,218 | |
| Providence St Peter Hospital | Olympia | 17 | $103,751 | $23,401 | |
| University of Washington Medical Ctr | Seattle | 14 | $101,898 | $26,017 | |
| Swedish Medical Center | Seattle | 40 | $122,619 | $30,914 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.