Washington / Prov Sacred Hrt Med Ctr & Childs Hosp.
CMS certification 500054 · Spokane, WA
Prov Sacred Hrt Med Ctr & Childs Hosp.: charges and Medicare payments
Prov Sacred Hrt Med Ctr & Childs Hosp. reported 4,360 Medicare inpatient stays across 128 DRGs in 2024. Across them it charged 3.75 times what it was paid — among the lower ratios in Washington, number 32 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: 439 stays at an average charge of $88,050, 2% below the national average. It also billed 4,190 outpatient services, charging 4.74 times what Medicare paid.
- 1Medicare inpatient stays 4,360
- 2Charge ÷ paid, inpatient 3.75×
- 3Rank in WA (highest ratio = 1) 32 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 128 DRGs that can be compared with the national average, Prov Sacred Hrt Med Ctr & Childs Hosp. charged more than the national average in 17 (13%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 439 | $88,050 | -2% | $20,326 |
| 291 Heart Failure and Shock with MCC | 152 | $57,632 | +2% | $12,934 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 143 | $141,139 | -50% | $54,170 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 119 | $60,525 | -20% | $14,774 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 116 | $76,991 | -23% | $19,302 |
| 885 Psychoses | 100 | $64,145 | +46% | $19,760 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 91 | $41,823 | -25% | $10,080 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 82 | $116,909 | -47% | $42,441 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 81 | $153,807 | -45% | $51,259 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 73 | $174,093 | -24% | $48,122 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 71 | $83,137 | -47% | $28,664 |
| 330 Major Small and Large Bowel Procedures with CC | 68 | $96,937 | -19% | $23,471 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 68 | $39,311 | -20% | $10,522 |
| 481 Hip and Femur Procedures except Major Joint with CC | 67 | $85,625 | -15% | $18,714 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 63 | $242,910 | -39% | $70,311 |
| 177 Respiratory Infections and Inflammations with MCC | 62 | $60,428 | -14% | $15,417 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 60 | $86,764 | -38% | $25,170 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 59 | $50,186 | -32% | $15,120 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 58 | $82,201 | -28% | $17,461 |
| 329 Major Small and Large Bowel Procedures with MCC | 53 | $164,731 | -23% | $45,520 |
| 193 Simple Pneumonia and Pleurisy with MCC | 51 | $68,920 | +15% | $13,273 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 50 | $117,945 | -28% | $29,235 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 47 | $140,456 | -39% | $39,653 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 45 | $33,169 | -34% | $8,899 |
| 377 Gastrointestinal Hemorrhage with MCC | 43 | $69,327 | -19% | $16,927 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 43 | $97,435 | -30% | $25,585 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $71,499 | +19% | $16,186 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 38 | $159,074 | -22% | $46,744 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $70,268 | -37% | $20,431 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $46,079 | -20% | $11,812 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 35 | $97,778 | -39% | $30,142 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 35 | $26,215 | -27% | $7,769 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 35 | $81,719 | -31% | $21,177 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 35 | $77,854 | -24% | $20,575 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 34 | $173,651 | -18% | $42,284 |
| 378 Gastrointestinal Hemorrhage with CC | 34 | $43,244 | -11% | $9,212 |
| 253 Other Vascular Procedures with CC | 33 | $87,670 | -34% | $22,537 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 32 | $110,511 | -43% | $33,799 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 31 | $55,590 | -2% | $12,148 |
| 683 Renal Failure with CC | 31 | $29,092 | -29% | $8,124 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 30 | $142,200 | +5% | $29,823 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 29 | $65,304 | -41% | $20,034 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 29 | $72,651 | -15% | $19,125 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $31,475 | -15% | $7,782 |
| 314 Other Circulatory System Diagnoses with MCC | 28 | $95,730 | +1% | $21,091 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $36,223 | -10% | $7,959 |
| 467 Revision of Hip or Knee Replacement with CC | 28 | $110,144 | -30% | $31,844 |
| 682 Renal Failure with MCC | 28 | $64,904 | -2% | $15,094 |
| 164 Major Chest Procedures with CC | 27 | $95,060 | -25% | $22,872 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 27 | $211,874 | -23% | $47,891 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $412,575 | +28% | $90,587 |
| 951 Other Factors Influencing Health Status | 27 | $44,058 | +72% | $8,742 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 26 | $209,060 | -29% | $56,342 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $52,325 | -14% | $12,549 |
| 101 Seizures without MCC | 24 | $34,917 | -28% | $9,757 |
| 163 Major Chest Procedures with MCC | 24 | $188,920 | -10% | $52,146 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 23 | $79,596 | -31% | $21,287 |
| 312 Syncope and Collapse | 23 | $40,002 | -12% | $8,256 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 22 | $54,778 | -16% | $13,078 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 22 | $259,308 | -33% | $69,952 |
Showing the 60 most frequent of 128 DRGs.
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Prov Sacred Hrt Med Ctr & Childs Hosp. charged $88,050 on average, 12% more than the Washington average of $78,715, and was paid $20,326 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Prov Sacred Hrt Med Ctr & Childs Hosp. charged $57,632 on average, 8% more than the Washington average of $53,424, and was paid $12,934 against a state average of $12,124. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Prov Sacred Hrt Med Ctr & Childs Hosp. charged $141,139 on average, 40% less than the Washington average of $234,245, and was paid $54,170 against a state average of $59,932. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Prov Sacred Hrt Med Ctr & Childs Hosp. charged $60,525 on average, 9% less than the Washington average of $66,804, and was paid $14,774 against a state average of $14,507. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $10,360 was 53% below the state average of $21,838. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,614 was 20% below the state average of $10,814. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,398 was 40% below the state average of $22,427. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $54,828 was 21% below the state average of $69,838.
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.