facebook tracking Cardiac defibrillator implant with cardiac catheterization and mcc cost in Washington: 2 hospitals compared (DRG 275)

Cardiac defibrillator implant with cardiac catheterization and mcc in Washington

What 2 hospitals in Washington charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275), from 2024 Medicare claims.

DRG 275 Inpatient 2024 Medicare data
Average charge $246,709 Hospital list price billed
Average payment $67,355 Medicare + patient + other payers
Medicare paid $54,374 Average per stay
Volume 24 Medicare hospital stays

Hospitals in Washington billed an average of $246,709 for cardiac defibrillator implant with cardiac catheterization and mcc, about 3.7 times the average total payment of $67,355. That payment is 7% below the U.S. average of $72,309.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $67,355Billed $246,709

About 27¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: cardiac defibrillator implant with cardiac catheterization and mcc

Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Providence Sacred Heart Medical CenterSpokane 13 $206,383 $71,490 $49,175
St Michael Medical CenterBremerton 11 $294,368 $62,469 $60,518
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Questions

How much does cardiac defibrillator implant with cardiac catheterization and mcc cost in Washington?

In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275) at 2 hospitals in Washington was billed at $246,709 on average, while the average total payment was $67,355, of which Medicare paid $54,374. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Washington, average charges were 3.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.