CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Shriners Hospital for Children

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,834
about 1.8× the $14,044 Medicare rate · typically $14,550–$35,971
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,823
Below the fair price — a good deal
about $6,011 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $25,834 This hospital $19,823

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 7 of 8 other WA hospitals charge less.

Cheapest $11,313 Priciest $20,671

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $25,834 (about 1.8× the $14,044 Medicare rate). Shriners Hospital for Children charges insurers about $19,823 — below the fair price — a good deal. Located in Spokane, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Kaiser Permanente AetnaCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20,205 144%
Blue Cross Blue Shieldmajor $13,129 - $25,867 93%
Kaiser Permanentemajor $4,200 30%
Health Net $14,718 105%
Providence Health Plan $14,718 105%
+ 4 smaller / regional plans $12,658 - $27,285

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Facility Profile & Credentials

  • Address: 911 West 5Th Avenue, Spokane, WA 99204
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens