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.

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  1. 1Medicare inpatient stays 4,360
  2. 2Charge ÷ paid, inpatient 3.75×
  3. 3Rank in WA (highest ratio = 1) 32 of 43
  4. 4CMS price-transparency actions 0
DRG 871$88,050DRG 291$57,632DRG 266$141,139DRG 280$60,525DRG 064$76,991DRG 885$64,145DRG 065$41,823DRG 267$116,909DRG 023$153,807DRG 853$174,093
Average charge per stay at Prov Sacred Hrt Med Ctr & Childs Hosp., its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC439$88,050-2%$20,326
291 Heart Failure and Shock with MCC152$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 MCC119$60,525-20%$14,774
064 Intracranial Hemorrhage or Cerebral Infarction with MCC116$76,991-23%$19,302
885 Psychoses100$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 MCC71$83,137-47%$28,664
330 Major Small and Large Bowel Procedures with CC68$96,937-19%$23,471
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC68$39,311-20%$10,522
481 Hip and Femur Procedures except Major Joint with CC67$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 MCC62$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 MCC59$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 MCC53$164,731-23%$45,520
193 Simple Pneumonia and Pleurisy with MCC51$68,920+15%$13,273
321 Percutaneous Cardiovascular Procedures with Intraluminal...50$117,945-28%$29,235
025 Craniotomy and Endovascular Intracranial Procedures with MCC47$140,456-39%$39,653
281 Acute Myocardial Infarction, Discharged Alive with CC45$33,169-34%$8,899
377 Gastrointestinal Hemorrhage with MCC43$69,327-19%$16,927
480 Hip and Femur Procedures except Major Joint with MCC43$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/MCC38$159,074-22%$46,744
286 Circulatory Disorders except AMI, with Cardiac...37$70,268-37%$20,431
189 Pulmonary Edema and Respiratory Failure36$46,079-20%$11,812
242 Permanent Cardiac Pacemaker Implant with MCC35$97,778-39%$30,142
309 Cardiac Arrhythmia and Conduction Disorders with CC35$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 MCC34$173,651-18%$42,284
378 Gastrointestinal Hemorrhage with CC34$43,244-11%$9,212
253 Other Vascular Procedures with CC33$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 MCC31$55,590-2%$12,148
683 Renal Failure with CC31$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 CC29$65,304-41%$20,034
331 Major Small and Large Bowel Procedures without CC/MCC29$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 MCC28$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 CC28$110,144-30%$31,844
682 Renal Failure with MCC28$64,904-2%$15,094
164 Major Chest Procedures with CC27$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 Hours27$412,575+28%$90,587
951 Other Factors Influencing Health Status27$44,058+72%$8,742
235 Coronary Bypass without Cardiac Catheterization with MCC26$209,060-29%$56,342
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...25$52,325-14%$12,549
101 Seizures without MCC24$34,917-28%$9,757
163 Major Chest Procedures with MCC24$188,920-10%$52,146
082 Traumatic Stupor and Coma >1 Hour with MCC23$79,596-31%$21,287
312 Syncope and Collapse23$40,002-12%$8,256
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale22$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.