CostGrade
C

61/100

#931 nationally

Prov Sacred Hrt Med Ctr & Childs Hosp.

101 West 8Th Avenue, Spokane, WA 99220 · (509) 474-3131

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Prov Sacred Hrt Med Ctr & Childs Hosp. billed $3.80 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
3.8x
volume-weighted across all its priced work
Procedures priced
175
inpatient and outpatient combined
Rank in WA
#9
lower markup ranks higher
CMS quality stars
3/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 19.4/35

Better than 55% of U.S. hospitals.

Outpatient charge markup 20.8/25

Better than 83% of U.S. hospitals.

Price level vs national median 16.2/30

Better than 54% of U.S. hospitals.

Price consistency 4.6/10

Better than 46% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

449 $10,360 $3,235 -59%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

439 $88,050 $20,326 +35%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

367 $8,614 $1,894 -27%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

355 $13,398 $2,729 -31%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

307 $54,828 $13,150 -12%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

162 $19,195 $10,629 -63%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

152 $57,632 $12,934 +33%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

148 $53,793 $10,974 -21%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

147 $13,437 $3,143 -30%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

143 $141,139 $54,170 -41%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

$44,058 $8,742 +101%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

$93,159 $19,417 +86%
Psychoses

MS-DRG 885 · Inpatient stay

$64,145 $19,760 +78%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

$133,540 $28,171 +66%
Sepsis

MS-DRG 870 · Inpatient stay

$412,575 $90,587 +54%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

$68,920 $13,273 +48%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

$71,499 $16,186 +47%
Pancreas, Liver and Shunt Procedures without Complications/mcc

MS-DRG 407 · Inpatient stay

$128,086 $20,662 +37%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

$19,195 $10,629 -63%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

$10,360 $3,235 -59%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

$40,626 $19,509 -57%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

$26,068 $7,816 -56%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

$19,810 $7,496 -55%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

$78,402 $32,917 -47%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

$8,922 $2,786 -46%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

$12,532 $3,472 -46%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.