Washington / Multicare Deaconess Hospital

CMS certification 500044 · Spokane, WA

Multicare Deaconess Hospital: charges and Medicare payments

Multicare Deaconess Hospital reported 1,493 Medicare inpatient stays across 53 DRGs in 2024. Across them it charged 4.12 times what it was paid — mid-range in Washington, number 26 of 43 hospitals with at least 100 stays (state median 4.37×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 187 stays at an average charge of $52,430, 42% below the national average. It also billed 2,446 outpatient services, charging 8.02 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,493
  2. 2Charge ÷ paid, inpatient 4.12×
  3. 3Rank in WA (highest ratio = 1) 26 of 43
  4. 4CMS price-transparency actions 0
DRG 871$52,430DRG 291$37,978DRG 274$101,636DRG 273$101,045DRG 193$39,171DRG 280$43,345DRG 177$43,153DRG 322$108,370DRG 267$158,077DRG 189$33,696
Average charge per stay at Multicare Deaconess Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 53 DRGs that can be compared with the national average, Multicare Deaconess Hospital charged more than the national average in 6 (11%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC187$52,430-42%$15,985
291 Heart Failure and Shock with MCC81$37,978-33%$10,875
274 Percutaneous and Other Intracardiac Procedures without MCC72$101,636-35%$27,517
273 Percutaneous and Other Intracardiac Procedures with MCC66$101,045-53%$31,591
193 Simple Pneumonia and Pleurisy with MCC63$39,171-34%$11,630
280 Acute Myocardial Infarction, Discharged Alive with MCC59$43,345-43%$13,052
177 Respiratory Infections and Inflammations with MCC41$43,153-39%$13,949
322 Percutaneous Cardiovascular Procedures with Intraluminal...38$108,370-5%$16,488
267 Endovascular Cardiac Valve Replacement and Supplement...37$158,077-29%$40,279
189 Pulmonary Edema and Respiratory Failure36$33,696-41%$10,387
309 Cardiac Arrhythmia and Conduction Disorders with CC35$17,845-51%$7,392
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC33$31,738-35%$8,733
266 Endovascular Cardiac Valve Replacement and Supplement...31$185,048-35%$50,154
378 Gastrointestinal Hemorrhage with CC31$31,269-36%$8,673
321 Percutaneous Cardiovascular Procedures with Intraluminal...29$173,033+6%$24,029
683 Renal Failure with CC29$27,223-33%$7,510
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...27$41,735-25%$8,831
682 Renal Failure with MCC27$31,205-53%$12,125
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC25$198,073-2%$40,932
853 Infectious and Parasitic Diseases with O.R. Procedures with...25$166,116-27%$38,912
698 Other Kidney and Urinary Tract Diagnoses with MCC24$38,576-47%$14,253
064 Intracranial Hemorrhage or Cerebral Infarction with MCC22$42,574-57%$14,358
281 Acute Myocardial Infarction, Discharged Alive with CC22$39,004-23%$8,292
377 Gastrointestinal Hemorrhage with MCC22$59,667-30%$14,855
472 Cervical Spinal Fusion with CC20$113,766-20%$27,047
481 Hip and Femur Procedures except Major Joint with CC19$78,739-22%$16,660
811 Red Blood Cell Disorders with MCC19$37,505-45%$11,690
330 Major Small and Large Bowel Procedures with CC18$131,016+10%$21,722
470 Major Hip and Knee Joint Replacement or Reattachment of...18$104,855+13%$16,785
039 Extracranial Procedures without CC/MCC17$63,350-1%$9,588
690 Kidney and Urinary Tract Infections without MCC17$26,663-30%$6,872
025 Craniotomy and Endovascular Intracranial Procedures with MCC16$135,383-42%$32,135
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC16$12,736-56%$4,959
312 Syncope and Collapse16$35,189-23%$7,448
329 Major Small and Large Bowel Procedures with MCC16$201,071-6%$34,257
552 Medical Back Problems without MCC16$31,428-36%$8,094
621 O.R. Procedures for Obesity without CC/MCC16$103,462+38%$13,647
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...15$40,698-32%$10,898
252 Other Vascular Procedures with MCC14$162,828-5%$27,344
389 Gastrointestinal Obstruction with CC14$29,785-23%$8,138
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...14$38,150-37%$10,718
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...14$30,790-23%$6,581
480 Hip and Femur Procedures except Major Joint with MCC14$113,527-18%$22,401
603 Cellulitis without MCC14$25,135-33%$7,374
314 Other Circulatory System Diagnoses with MCC13$76,356-19%$19,165
236 Coronary Bypass without Cardiac Catheterization without MCC12$303,166+44%$33,213
243 Permanent Cardiac Pacemaker Implant with CC12$63,244-43%$18,133
308 Cardiac Arrhythmia and Conduction Disorders with MCC12$34,214-40%$10,116
454 Combined Anterior and Posterior Spinal Fusion with CC12$222,771-20%$50,146
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$25,184-32%$6,684
885 Psychoses12$40,680-8%$11,569
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...12$145,014-33%$38,111
657 Kidney and Ureter Procedures for Neoplasm with CC11$107,389+7%$18,300

Outpatient services

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Multicare Deaconess Hospital charged $52,430 on average, 33% less than the Washington average of $78,715, and was paid $15,985 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Multicare Deaconess Hospital charged $37,978 on average, 29% less than the Washington average of $53,424, and was paid $10,875 against a state average of $12,124. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Multicare Deaconess Hospital charged $101,636 on average, 24% less than the Washington average of $132,875, and was paid $27,517 against a state average of $29,468. For Percutaneous and Other Intracardiac Procedures with MCC (DRG 273), Multicare Deaconess Hospital charged $101,045 on average, 25% less than the Washington average of $135,266, and was paid $31,591 against a state average of $36,000. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,934 was 13% below the state average of $21,838. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,279 was 19% above the state average of $69,838. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $143,351 was 17% above the state average of $122,380. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,776 was 0% below the state average of $10,814.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.