facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Washington: 7 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Washington

What 7 hospitals in Washington charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $396,501 Hospital list price billed
Average payment $88,089 Medicare + patient + other payers
Medicare paid $69,795 Average per stay
State rank #30 of 37 1 = lowest average payment

Hospitals in Washington billed an average of $396,501 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.5 times the average total payment of $88,089. That payment is 5% above the U.S. average of $83,705.

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 $88,089Billed $396,501

About 22¢ was paid for every $1 hospitals in Washington billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Washington:

DRG 219 $88,089 DRG 219 · this page DRG 220 $55,508 DRG 220 · U.S. average DRG 221 $42,892 DRG 221 · U.S. average

Washington hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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
Swedish Medical Center/Cherry HillSeattle 66 $583,010 $110,979 $79,252
Providence Sacred Heart Medical CenterSpokane 63 $242,910 $70,311 $60,384
University of Washington Medical CtrSeattle 52 $285,466 $89,610 $63,577
St Joseph Medical CenterTacoma 32 $594,589 $85,259 $78,982
Tacoma General HospitalTacoma 23 $331,653 $86,005 $66,567
Virginia Mason Medical CenterSeattle 15 $337,153 $84,019 $79,107
S W Washington Medical CenterVancouver 12 $328,452 $65,564 $64,177
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization: all states All Washington hospitals Washington hospital finances
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Lowest and highest payments in Washington

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

S W Washington Medical CenterVancouver, WA$65,564
Providence Sacred Heart Medical CenterSpokane, WA$70,311
Virginia Mason Medical CenterSeattle, WA$84,019
St Joseph Medical CenterTacoma, WA$85,259
Tacoma General HospitalTacoma, WA$86,005

Highest

Swedish Medical Center/Cherry HillSeattle, WA$110,979
University of Washington Medical CtrSeattle, WA$89,610
Tacoma General HospitalTacoma, WA$86,005
St Joseph Medical CenterTacoma, WA$85,259
Virginia Mason Medical CenterSeattle, WA$84,019

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Connecticut · $89,971 Illinois · $89,234 Michigan · $85,570 Minnesota · $86,335 Oregon · $88,045 Utah · $86,920 Virginia · $90,582 West Virginia · $87,710

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Washington?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 7 hospitals in Washington was billed at $396,501 on average, while the average total payment was $88,089, of which Medicare paid $69,795. 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 4.5 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.